Unknown Case 14

51 y/o trans woman presents for screening mammogram. What is the most likely diagnosis?

free silicone 1
free silicone 2

FREE SILICONE BREAST INJECTIONS

  • Alternative form of breast augmentation
  • Serious adverse effects and banned in USA
  • Mammo: extremely dense lobulated masses +/- rim calcifications
  • US can have “snowstorm appearance”
  • MRI: T1 low, T2 water suppressed high