Fig. 9
From: MR imaging of the reconstructed breast: What the radiologist needs to know
A 54-year-old woman with history of left breast cancer treated with mastectomy and TRAM reconstruction 10 years prior. a T2W, b unenhanced T1W fat saturated. c Enhanced T1W fat-saturated sequences demonstrate post-treatment changes within the left TRAM demonstrating minimal peripheral enhancement, which follows the fat signal on all sequences (arrows), consistent with fat necrosis. d Another patient, 53 years old, with DIEP reconstruction on the right presented with palpable lumps on the right, 2 years post-reconstruction surgery. Unenhanced T2W and enhanced T1W fat-saturated images demonstrate multiple masses (arrows) in the left breast showing a fat signal within the masses and minimal peripheral enhancement, consistent with fat necrosis