Visualization of the shear wave on gray-scale ultrasound: experience with a complex breast cyst

Angelica Chiorean, Roxana Maria Pintican, Maria Magdalena Duma, Radu Fechete, Diana Feier, Madalina Szep, Sorin Dudea


Shear wave elastography (SWE) is the newer of the two methods of measuring tissue stiffness using ultrasound. We present the case of a 39-year-old patient with fibrocystic breast disease who presented with a left painful breast lump. The patient underwent a breast ultrasound that depicted a complicated cyst with a “pseudo-solid” content. When the SWE mode was turned on, the ultrasound share wave was observed on the gray-scale image, as surface undulations of the “pseudo-solid” component. To the best of our knowledge, this is the first report of the share wave visualization on a gray-scale image. The impact on patient management is discussed. 


shear wave; breast elastography; complicated cyst

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