Aim: The aim of the present study was to analyze the importance of mammography and sonography in fat necrosis.
Methods: A prospective clinicopathological study was conducted on 40 female patients of different age groups from 30 to 60 years. Patients’ information is collected from at Department of Radiology for one year.
Results: Forty lesions were identified on mammograms. The predominant mammographic features of the 40 lesions apparent on mammograms were as follows, 10 (25%) radiolucent oil cysts (either with or without curvilinear mural calcification), 4 (10%) round opacity, 6 (15%) asymmetrical opacity or heterogenicity of the subcutaneous tissues 10 (25%) dystrophic calcifications, 2 (8%) clustered pleomorphic microcalcifications and 2 (8%) suspicious speculated mass. Forty lesions were identified at sonography. The predominant US features of the 40 lesions apparent on sonograms were as follows 5 (12.5%) solid-appearing masses, 6 (15%) anechoic masses with posterior acoustic enhancement (cyst), 6 (15%) anechoic masses with posterior acoustic shadowing (cyst with mural calcification), 4 (10%) cystic masses with internal echoes 2 (5%) cystic masses with mural nodule and 10 (25%) increased echogenicity of the subcutaneous tissues (small cysts inside this area±). In 7 (17.5%) masses, no discrete lesion could be identified on sonograms.
Conclusion: In conclusion, there is a wide range of mammographic and ultrasonographic patterns of fat necrosis.