Figure 9.

60 year old female status post left breast modified radical mastectomy and left axillary lymph node dissection followed by left breast reconstruction with a standard dual-lumen breast implant, with biopsy-proven silicone lymphadenitis of contralateral (right) axillary and intramammary lymph nodes. Pre biopsy right breast mediolateral mammograms dated 9/2008 and 10/2012 (kV: 29; mAs: 73, and kV: 29; mAs: 74, respectively) demonstrate interval increased size and radiodensity of previously noted normal-appearing right axillary lymph node initially measured at 0.8 × 0.9cm which on follow-up study measured 1.1 × 1.1cm. Interval increased size and radiodensity of an initially normal appearing intramammary lymph node in the right upper outer quadrant measuring 0.6 × 0.4 cm which on follow-up study measured 1.1 × 0.6 cm is also demonstrated.