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‘Pasta-Bly’ the best radiologic imaging sign—I saw the linguine sign

      Highlights

      • The linguine sign consists of the elastomeric shell of a ruptured implant floating within silicone gel.
      • The linguine sign is a reliable imaging sign for identifying intracapsular implant rupture.
      • MR imaging is the most reliable method for identifying intracapsular implant rupture.

      Abstract

      The linguine sign is a radiologic sign seen on magnetic resonance imaging (MRI) that indicates intracapsular rupture of silicone breast implants. It refers to multiple curvilinear lines that appear on MRI, representing the outline of the elastomeric shell of the silicone implant floating freely within the silicone gel. The term first appeared in literature in 1992 when optimal imaging techniques and modalities for implant rupture were still unclear, and since then the term “linguine sign” has been widely used to describe evidence of intracapsular rupture.

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