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High-Resolution MRI in Detecting Subareolar Breast Abscess

Peifen Fu1,2, Yasuyuki Kurihara1, Yoshihide Kanemaki1, Kyoko Okamoto1, Yasuo Nakajima1, Mamoru Fukuda3 and Ichiro Maeda4

1 Department of Radiology, School of Medicine, St. Marianna University, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa Prefecture 216-8511, Japan.
2 Department of Surgery, First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
3 Department of Surgery, School of Medicine, St. Marianna University, Kawasaki City, Kanagawa Prefecture, Japan.
4 Department of Pathology, School of Medicine, St. Marianna University, Kawasaki City, Kanagawa Prefecture, Japan.


Figure 1
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  		Fig. 1 —Microscopy coil for high-resolution MR mammography (arrow), which is much smaller than conventional surface coil (outer coil).

 

Figure 2
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  		Fig. 2A —25-year-old woman with complex fistulas. Contrast-enhanced T1-weighted image shows hartshornlike complex fistulas with two orifices (arrows).

 

Figure 3
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  		Fig. 2B —25-year-old woman with complex fistulas. Preoperative close-up photograph of nipple shows dilated lactiferous orifice (arrow) and bilateral fistulas (arrowheads).

 

Figure 4
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  		Fig. 2C —25-year-old woman with complex fistulas. Intraoperative photograph shows fistula structure (arrow), consistent with that shown on MRI.

 

Figure 5
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  		Fig. 3 —35-year-old woman with subareolar abscess. Contrast-enhanced T1-weighted image shows abscess cavity (thick arrow) and fistula that is hypointense linear structure with thin marginal enhancement (thin arrows).

 

Figure 6
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  		Fig. 4 —30-year-old woman with subareolar abscess. Contrast-enhanced T1-weighted image shows 1.5-mm fistula inside nipple. Actual fistula cavity is small hypointense structure and is associated with well-enhanced marginal inflammatory stroma (arrow).

 

Figure 7
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  		Fig. 5 —28-year-old woman with subareolar abscess. Contrast-enhanced T1-weighted image shows hypointense tubular structure of dilated major lactiferous duct with enhanced wall (arrows) between inverted nipple and abscess cavity.

 

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