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The sternalis muscle (TA: musculus sternalis 8), also known as rectus sternalis or parasternalis 7, is an uncommon chest wall accessory muscle and is of uncertain etiology and function. Its importance lies in that it should not be mistaken for a pathological lesion.
22 cze 2023 · Ultrasound or CT or even MRI may be obtained for confirmation when the diagnosis is uncertain. The sternalis muscle should be considered in the differential diagnosis if a posteromedial mass is noted on the CC view 2 .
4 maj 2012 · This inconsistent muscle has varying shapes, contours and sizes and may mimic a mass lesion on the craniocaudal (CC) mammogram. Familiarity with its mammographic appearance and ultrasonographic correlation is essential to avoid confusion with a malignant lesion.
Ultrasound imaging of the sternalis muscle reveals a well-defined, hypoechoic structure with internal striations, consistent with the appearance of skeletal muscle. Ideally, its continuity with chest wall muscles can be traced to prove muscular origin.
The sternalis muscle is a normal anatomic variant, present in 6 - 8% of people. It can be misinterpreted as a potentially worrisome mass on a screening mammogram, leading to unnecessary extra views, diagnostic workups and even biopsies.
9 lip 2013 · We studied the appearance of the sternalis muscle on mammography and on CT and MR imaging. To our knowledge, this is the first description of this normal anatomic variant.
19 sty 2013 · The sternalis muscle is an unusual variant of the chest wall musculature. It may be visible as a rounded or irregular density on the craniocaudal mammogram along the sternal edge of the film. With improved mammographic positioning it will be seen more frequently.