Interactive Transcript
0:00
Our first case is a 39-year-old woman who
0:04
presented to the emergency room with fever
0:07
and symptoms of cellulitis of the right
0:09
breast, and we were asked to evaluate
0:12
for an abscess, and interestingly,
0:15
the patient had recently stopped breastfeeding.
0:18
So often our patients that have these acute
0:22
problems are evaluated through the adult, uh,
0:25
emergency department, so they may get, um,
0:28
an ultrasound performed and interpreted by our body
0:32
imaging team rather than breast imaging and, uh,
0:36
sometimes they'll come to us for follow-up later.
0:40
So this was our patient and just scrolling
0:46
through, we can see that the skin is thick.
0:49
So we're starting with.
0:50
Ultrasound, because that's what's
0:52
available in the emergency department.
0:54
So skin thickening, the subcutaneous fat, instead
0:58
of being a medium gray, is kind of a lighter gray
1:02
color, a little bit more echogenic than normal.
1:04
And there's a little bit of fluid
1:06
tracking through the tissue.
1:08
So the tissue's edematous.
1:10
When we put Doppler, color on.
1:13
Um, there's increased vascularity to that tissue.
1:17
And as we get into the tissues,
1:19
there's some more hypoechoic areas, really no
1:22
drainable fluid collection, very vascular.
1:28
See this in the other direction.
1:31
So lots of echogenic fat lobules
1:40
and that very hypervascular
1:41
tissue.
1:42
So that's the right breast.
1:43
They looked at the left breast for comparison.
1:46
And it looks much different, so it doesn't have
1:50
that edema and, um, the vascularity is normal.
1:54
So this was thought to represent
1:58
mastitis without an abscess.
© 2024 MRI Online. All Rights Reserved.