case_images: PMC7301711_01
case_images: Preoperative photograph of the patient, taken anteriorly.
case_images: ICRP_A_1762495_F0001_C.jpg
case_images: PMC7301711_01_ICRP_A_1762495_F0001_C.jpg
case_images: F0001
case_images: At the time of presentation her prostheses were 27-year-old sub-muscular, silicone, textured implants (Figure 1).
case_images: T1 weighted contrast bilateral breast MRI demonstrating a soft tissue intensity mass-like area attached to the right breast capsule with internal enhancing foci and trace periprosthetic fluid, in addition to enhancing foci at the deep margin of the left breast capsule.
case_images: ICRP_A_1762495_F0002_B.jpg
case_images: PMC7301711_01_ICRP_A_1762495_F0002_B.jpg
case_images: F0002
case_images: The left implant was intact and showed similarly enhancing foci at the lower outer quadrant along the capsule, in addition to a 15 mm fluid collection (Figure 2).
case_images: Intraoperative photograph of bilateral explanted, textured, silicone breast prostheses and right breast capsule. There is evidence of bilateral rupture with hematoma within the implants.
case_images: ICRP_A_1762495_F0003_C.jpg
case_images: PMC7301711_01_ICRP_A_1762495_F0003_C.jpg
case_images: F0003
case_images: The left implant was found to be ruptured (Figure 3).
case_images: Immunohistochemistry for CD68, a histocyte marker, highlights numerous foam histocytes within the lesion on the external surface of the right capsule.
case_images: ICRP_A_1762495_F0004_C.jpg
case_images: PMC7301711_01_ICRP_A_1762495_F0004_C.jpg
case_images: F0004
case_images: Her pathology was consistent with a silicone granuloma (Figures 4 and 5).
case_images: This image shows vacuolated histiocytes and a foreign body-type giant cell, features of the silicone granuloma taken from the lesion on the external surface of the right capsule.
case_images: ICRP_A_1762495_F0005_C.jpg
case_images: PMC7301711_01_ICRP_A_1762495_F0005_C.jpg
case_images: F0005
case_images: Her pathology was consistent with a silicone granuloma (Figures 4 and 5).