CTICasesFree Silicone Breast Injections with Calcified and Non-Calcified Granulomas
Imaging findings
Chest CT and mammography demonstrate classic appearances of cosmetic free silicone injection. Mammography shows dense, multiple well-defined calcified and non-calcified nodular opacities scattered throughout bilateral breast tissue. CT confirms multiple high-attenuation silicone granulomas within the breasts, accompanied by localized architectural distortion.
Key takeaways
Free silicone injection into breast tissue is an older cosmetic procedure that leads to chronic foreign-body giant-cell reaction, resulting in high-attenuation silicone granulomas. Over time, these granulomas often calcify and cause severe parenchymal distortion. Recognizing the classic mammographic and CT appearances is critical to avoid misinterpreting these findings as malignant breast lesions.
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