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Fig. 6A. —75-year-old woman with ruptured 26-year-old subpectoral single-lumen silicone gel implant. Presence of extracapsular silicone posteriorly and laterally is seen only on inversion-recovery sequence and was missed by two observers. Axial fast spin-echo T2-weighted MR image with water suppression shows silicone gel (arrowheads) outside implant shell, indicating rupture. Hypointense Dacron (DuPont, Wilmington, DE) fixation patches (open arrows) are evident along posterior implant wall, consistent with 530 FP series Cronin implant (Dow Corning Wright, Arlington, TN). Patches are meant to stabilize implant position by facilitating ingrowth of tissue. Silicone granuloma (arrow) posterolateral to implant is not well seen.