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Radiology · Breast imaging: implants
Sample itemWhich imaging is the most sensitive for detecting intracapsular rupture of a silicone breast implant?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. MRI
MRI without contrast using silicone-specific sequences has the highest sensitivity, and shows the linguine sign of collapsed implant shell floating in silicone. Ultrasound shows a snowstorm sign in extracapsular rupture. Mammography is limited in intracapsular rupture.
Option by option
A. Ultrasound alone
Ultrasound is less sensitive for intracapsular rupture.
B. Thermography
Thermography is not a reliable test.
C. MRI (correct)
Correct. MRI is the most sensitive test for implant rupture.
D. Mammography
Mammography detects only extracapsular silicone and gross deformity.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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