{Reference Type}: Case Reports {Title}: Evaluating silicone breast implant rupture with photon-counting CT and volumetric silicone maps. {Author}: Soesbe TC;Ahn RW;Ren L;Seiler S;Abadia A;Hallam KA;Lewis MA; {Journal}: Radiol Case Rep {Volume}: 19 {Issue}: 8 {Year}: 2024 Aug 暂无{DOI}: 10.1016/j.radcr.2024.05.016 {Abstract}: 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.