The Case of Pamela Baywatch II

in Fig. 12.24a already—solves the problem: The anterior fluid collection does not contain silicone and is a residual cyst; the posterior collection is the silicone implant.

Fig. 12.26a This T2-weighted and fat-saturated sequence documents the implant rupture on the left with a nice "linguini" sign. On the right, two adjacent fluid collections are seen. b Another silicone-selective sequence—you have seen one in Fig. 12.24a already—solves the problem: The anterior fluid collection does not contain silicone and is a residual cyst; the posterior collection is the silicone implant.

The story Mrs. Baywatch tells sounds unreal but is true and indicative of what some will do for beauty and for money. In the Swinging Sixties she had both her breasts augmented with allogenic fat implants. These became infected on one side and were removed and replaced with silicone implants. The fluid retention in the right breast visible on MRI is most likely a remnant of this first fat implant. Apart from that, the left implant envelope is ruptured.

For Mrs. Baywatch the story took a fortunate turn: the liver lesion was surgically removed and proved to be benign. For the surgeon who illegally implanted the allogenic fat in her breasts and in the breasts of a number of other women back in the sixties, the opposite was true: he committed suicide a few years later.

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