A Surprising Cause of Chest Pain

A 73-year-old woman with a history of thoracotomy presents with sudden Chest Pain. Explore a rare complication found on her chest CT scan.

Intrathoracic migration of a breast implant


A 73-year-old woman had sudden chest pain during pulmonary-function testing. She had a history of breast cancer, for which a double mastectomy with breast reconstruction had been performed 23 years earlier, followed by the insertion of silicone breast implants 12 years later. She also had a history of non–small-cell lung cancer, for which a superior segmentectomy of the right lower lung had been performed by means of open thoracotomy 3 years before presentation. To evaluate the patient’s chest pain, a computed tomographic scan of the chest was performed. What radiographic finding is shown?

What is the most likely diagnosis?

Intrathoracic migration of a breast implant
Lobar consolidation
Loculated pleural effusion
Pneumothorax
Segmental atelectasis

Breast Implant Complication, Chest Pain, Computed Tomography, Intrathoracic migration of a breast implant, Thoracotomy

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