Diagnosis of Breast Capsular Contracture

Clinical Examination Findings

• An implant that becomes more rounded in appearance may signify the presence of capsular contracture, as noted by the American College of Radiology 1, 2
• Clinical examination alone can be unreliable and subjective, necessitating additional objective measures, according to the American College of Radiology 2

Imaging Modalities

Diagnostic Considerations

• Capsular calcifications correlate with implant age but do not necessarily indicate contracture, as reported by the American College of Radiology 1, 2
• Previous history of radiation therapy significantly increases the risk of capsular contracture 4
• The American College of Radiology notes that MRI can differentiate between capsular contracture and other complications such as implant rupture 3
• Differentiate between capsular contracture and other complications such as implant rupture, which may present with similar symptoms, as advised by the American College of Radiology 5, 6
• Previous history of silicone implants may affect imaging interpretation; comparison with prior studies is critical, according to the American College of Radiology 7, 8