Multiple Myeloma Breast Involvement: A Case Report

Table 1

Radiological features of plasmacytoma breast lesions.

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Possible radiological features of plasmacytoma breast lesions (Nonspecific)

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Mammogram

(i) Hyperdense, round or oval, masses with well- or ill-defined margins.

(ii) Diffuse infiltration.

(iii) Microcalcifications (rare).

Ultrasound

(i) Echo-poor or hypoechoic well-defined masses with hypervascularity.

(ii) Mixed hypo- to hyperechoic lesions with indistinct margins.

(iii) Posterior acoustic features:

 (1) Enhanced or no acoustic transmission.

 (2) Posterior acoustic shadowing.

Magnetic resonance

(i) Hypointense on T1WIs.

(ii) Hyperintense on T2WIs.

(iii) Early ring enhancement with washout in postcontrast images.

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