Stepladder sign (intracapsular breast implant rupture)

The stepladder sign is a sonographic sign indicating an intracapsular breast implant rupture. It is considered the most reliable ultrasonographic finding in silicone gel breast implant intracapsular rupture. It is identified as multiple, discontinuous, parallel, linear echoes in the lumen, and is analogous to the linguine sign on MRI.

Breast imaging and pathology
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Article information

rID: 15433
System: Breast
Section: Signs
Synonyms or Alternate Spellings:
  • Step-ladder sign: breast implant intracapsular rupture
  • Step ladder sign: breast implant intra-capsular rupture
  • Step ladder sign - breast implant intracapsular rupture
  • Step-ladder sign: breast implant intra-capsular rupture

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Cases and figures

  • Figure 1: stepladder
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