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Fig. 4. —48-year-old woman with ruptured subglandular 19-year-old single-lumen silicone gel implant. Superomedial contour deformity (arrow) on this sagittal fast spin-echo T2-weighted MR image with water suppression is surrounded by hypointense scar. This implant was prospectively called negative for extracapsular rupture by two-thirds consensus. Retrospectively, reviewers could not agree whether image represents extracapsular spread of gel, focally weakened fibrous capsule, or just contour deformity.