A compendium of male breast imaging: The road less traveled

Figure 12  Venolymphatic malformation. A: Mediolateral oblique mammogram with an axillary view shows multiple well-defined, lobulated densities in the axilla (arrow), some containing coarse calcifications; B: Grayscale ultrasound reveals multiple anechoic and hypoechoic compressible tubular channels in the subcutaneous plane with echogenic phleboliths (arrow), which is consistent with dilated venous and lymphatic components; C: Color Doppler ultrasound demonstrates slow flow within some of the vascular channels; D: Coronal T2-weighted fat-saturated magnetic resonance image (MRI) shows hyperintense lobulated masses (arrows) in the axilla; E: Postcontrast axial T1-weighted fat-suppressed MRI shows enhancement of the lesion (thin arrows), with nonenhancing phleboliths, which is consistent with a benign low-flow vascular malformation.