Proton magnetic resonance spectroscopy of tubercular breast abscess: report of a case.
In vivo proton magnetic resonance spectroscopy (H-MRS) is a functional imaging modality. When magnetic resonance imaging is coupled with H-MRS, it results in accurate metabolic characterization of various lesions. Proton magnetic resonance spectroscopy has an established role in evaluating malignant breast lesions, and the increasing number of published literature supports the role of H-MRS in patients with breast cancer. However, H-MRS can be of help in evaluating benign breast disease. We present a case of tubercular breast abscess, initial diagnosis of which was suggested based on characteristic lipid pick on H-MRS and was subsequently confirmed by fine needle aspiration biopsy of the breast lesion.
Das
Chandan Jyoti
CJ
Department of Radiology, All India Institute of Medical Sciences, New Delhi, India. dascj@yahoo.com
Medhi
Kunjahari
K
D000038:Abscess / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D000328:Adult; D000995:Antitubercular Agents / Q000008:administration & dosage; D044963:Biopsy, Fine-Needle / Q000379:methods; D001940:Breast / Q000473:pathology; D003287:Contrast Media / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008279:Magnetic Resonance Imaging; D009682:Magnetic Resonance Spectroscopy / Q000379:methods*; D008413:Mastitis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D011522:Protons; D014376:Tuberculosis / Q000175:diagnosis* / Q000188:drug therapy / Q000382:microbiology; D016217:Ultrasonography, Mammary
D000995:Antitubercular Agents; D003287:Contrast Media; D011522:Protons