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Fig. 7A. —46-year-old woman with current intact subpectoral double-lumen implant placed 7 years previously, who had history of prior silicone gel implants and residual extracapsular silicone. Axial fast spin-echo T2-weighted MR image with water suppression shows intact double-lumen implant with outer lumen saline hypointense and inner lumen silicone hyperintense. Two reviewers missed residual siliconoma (arrow) from prior (presumed) rupture because siliconoma is isointense to fat on this sequence.