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Tattoo Pigment Mimicking Axillary Lymph Node Calcifications on Mammography

Molly M. Honegger1, Stephen M. Hesseltine2, Joshua D. Gross1, Cory Singer1 and Jean-Marc Cohen3

1 Department of Radiology–Breast Imaging, Beth Israel Medical Center, Phillips Ambulatory Care Center, New York, NY 10003.
2 Department of Radiology, Beth Israel Medical Center, First Ave. at 16th St., New York, NY 1003.
3 Department of Pathology, Beth Israel Medical Center, Phillips Ambulatory Care Center, New York, NY 10003.



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  		Fig. 1A. —35-year-old woman with extensive tattooing on her arms and back. Photograph of patient's right arm and posterior shoulder shows extensive tattooing with black, blue, red, and yellow pigments.

 


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  		Fig. 1B. —35-year-old woman with extensive tattooing on her arms and back. Mediolateral oblique mammogram of right breast shows axillary lymph node (arrow) containing foci of calcification density.

 


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  		Fig. 1C. —35-year-old woman with extensive tattooing on her arms and back. Photomicrograph of fine-needle aspiration biopsy specimen from lymph node reveals abundant black granular tattoo pigment obscuring lymphocytes. Arrows indicate some of pigment. (DIFF-QUICK [Dade Behring], x60)

 

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