📄 SCRS
Hemorrhagic breast cyst
Hemorrhagic breast cyst ultrasound case study
USG
Hemorrhagic breast cyst ultrasound case study
Case Study Record
| SN | Case Name | Report Line |
|---|---|---|
| 1 | Single Hemorrhagic breast cyst | View Report Line |
| 2 | Multiple Hemorrhagic breast cyst | - |
| 3 | - | - |
| 4 | - | - |
| 5 | - | - |
CASE–1
Single Hemorrhagic Breast Cyst (BI-RADS 2) – Glitter Sign
Single Hemorrhagic Breast Cyst (BI-RADS 2) – Glitter Sign
Clinical History
A 42-year-old female presented with a palpable lump in the upper outer quadrant of the right breast associated with mild intermittent pain. There was no history of breast trauma, nipple discharge, fever, previous breast surgery, or family history of breast malignancy. Breast ultrasound was performed for further evaluation.
Ultrasound Findings
Ultrasound examination demonstrates a well-circumscribed, thin-walled, oval cystic lesion measuring approximately 12 × 9 mm within the right breast. The lesion contains multiple fine mobile echogenic internal echoes producing a characteristic glitter sign (dynamic shimmering intracystic particulate matter) on real-time sonography. Posterior acoustic enhancement is present. No mural nodule, thick septation, irregular wall thickening, or internal vascularity is demonstrated on Color Doppler examination. The surrounding breast parenchyma is unremarkable, and no axillary lymphadenopathy is identified.
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| Breast ultrasound. A well-defined cystic lesion demonstrates multiple mobile echogenic particles producing the characteristic glitter sign on real-time sonography with posterior acoustic enhancement and no internal vascularity, consistent with a benign hemorrhagic breast cyst. |
Report Line
A well-circumscribed oval cyst measuring approximately 12 × 9 mm is identified within the breast parenchyma. The lesion contains mobile echogenic intracystic particulate matter demonstrating a characteristic glitter sign on real-time sonography with posterior acoustic enhancement. No mural nodule, solid component, or internal vascularity is identified on Color Doppler examination. Findings are consistent with a benign hemorrhagic breast cyst (BI-RADS 2).
Impression
Benign hemorrhagic breast cyst demonstrating the characteristic glitter sign. No suspicious sonographic features or internal vascularity. BI-RADS Category 2 (Benign Finding).
Go To Table
Recommendation
No additional imaging or biopsy is required for this typical benign hemorrhagic cyst demonstrating the glitter sign and lacking suspicious features. Routine age-appropriate breast screening is recommended. Clinical follow-up is advised if the lesion enlarges, becomes persistently painful, develops suspicious imaging features, or if new symptoms arise.
Key Learning Points
- The glitter sign represents mobile shimmering echogenic blood products within a hemorrhagic cyst on real-time ultrasound.
- Posterior acoustic enhancement and absence of internal Doppler vascularity support a benign diagnosis.
- Mobile echogenic debris helps differentiate a hemorrhagic cyst from a solid intracystic mass.
- Lack of mural nodules, irregular wall thickening, or vascular solid components favors a benign lesion.
- Typical hemorrhagic cysts with classic sonographic features are classified as BI-RADS 2 (Benign).
- Color Doppler should always be used to exclude vascular mural nodules or papillary lesions.
- Biopsy is indicated only if suspicious features such as a vascular solid component, irregular wall, or persistent mural nodule are present.
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