MRI is a great tool for diagnosis of intracapsular breast implant failure and is also the most accurate technique for differentiating intracapsular from extracapsular rupture as it can show silicone leakage into the breast parenchyma in extracapsular cases.

While extracapsular rupture is also frequently associated with “linguine sign”, intracapsular rupture may be associated with other non-specific imaging signs such as the “salad oil sign”, as observed in this case.