%0 Case Reports
%T Evaluating silicone breast implant rupture with photon-counting CT and volumetric silicone maps.
%A Soesbe TC
%A Ahn RW
%A Ren L
%A Seiler S
%A Abadia A
%A Hallam KA
%A Lewis MA
%J Radiol Case Rep
%V 19
%N 8
%D 2024 Aug
%M 38881621
暂无%R 10.1016/j.radcr.2024.05.016
%X We present a case of an 81-year-old woman who presented to the emergency department with bleeding from a right breast wound. The patient had prior imaging suggestive of bilateral silicone implant rupture and a history of low tolerance for MRI scans. Ultrasound imaging in the emergency setting showed findings in the right breast suggestive of a fistula with free silicone and hematoma. A subsequent photon-counting CT scan with custom silicone-specific segmentation allowed differentiation of silicone from hematoma, provided anatomic assessment and location of the fistula, and revealed bilateral silicone-induced lymphadenopathy.