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Injected silicone: radiologic appearance

J Berenguer1, P Luburich, X Tomás

  • 1Department of Radiology, Hospital Clínic i Provincial de Barcelona, Spain.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|August 1, 1993
PubMed
Summary
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Radiologists identified fluid silicone injections in the gluteal area of a transgender man. Imaging revealed soft tissue thickening and characteristic serpiginous bands within the subcutaneous fat.

Area of Science:

  • Radiology
  • Medical Imaging
  • Soft Tissue Pathology

Background:

  • Silicone injections are used for cosmetic and reconstructive purposes.
  • Understanding the imaging characteristics of injected materials is crucial for diagnosis.
  • Transgender individuals may undergo various medical procedures, including cosmetic enhancements.

Observation:

  • A transgender man presented with asymptomatic gluteal soft tissue.
  • Plain film radiography showed soft tissue thickening and striations in the trochanteric region.
  • Computed tomography (CT) revealed serpiginous, hyper-attenuated bands within the subcutaneous fat.

Findings:

  • The radiologic findings are consistent with fluid silicone injection.
  • The silicone appeared as thickened, striated soft tissues and infiltrating bands on imaging.

Related Experiment Videos

  • Despite the presence of silicone, the patient remained asymptomatic.

    • Implications:

    • This case highlights the importance of recognizing the imaging features of cosmetic silicone injections.
    • Radiologists should consider non-medical silicone augmentation when evaluating gluteal soft tissue abnormalities.
    • Accurate interpretation of imaging can prevent misdiagnosis and guide appropriate patient management.