Clustered Ring NME – Benign
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Next, we're going to look at a case of a
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58-year-old woman with a history of left breast
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cancer that was treated with mastectomy and
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she has right breast pain and nipple discharge.
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Her mammogram was negative, and in her
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situation, her doctor ordered a breast MRI
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for further evaluation.
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So this is the patient's MRI.
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We're really only looking at the right
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breast because the left breast has had
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a mastectomy with no reconstruction.
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So coming from the top,
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when we get into the central portion
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of her breast, we start getting into
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this clustered ring enhancement.
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You can start seeing these rings of
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enhancement with dark signal centrally.
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Another pair here.
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We get into the center of the breast.
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You see three rings right there and
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another one here, but she has this
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whole area of non-mass enhancement,
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but it has that clustered ring pattern.
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When you stop and look at the individual
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areas, there are multiple clustered rings
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throughout that whole enhancing area.
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Probably best seen right here in the middle,
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but clustered ring enhancement.
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So we did recommend biopsy for this,
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and this ended up being a benign etiology.
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She had ductal tissue with adjacent inflammatory
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changes, and not sure if this was related to her
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pain or discharge, but it was benign.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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