Which of the following best describes a normal intact implant on ultrasound?

• A. Intact Implant With Uniform Shell Margins And No Peri-Implant Fluid
• B. Ruptured Implant With Collapsed Lining
• C. Implant With Surrounding Solid Mass
• D. Peri-Implant Edema Without Implant Contact

Answer: (A)

A normal intact implant on ultrasound is identified by a smooth, continuous shell with uniform margins and no fluid collection around it. This appearance indicates the shell is intact and there is no leakage or inflammatory reaction in the peri-implant space. If there were rupture, you’d see signs such as irregular shell margins, a collapsed implant contour (intracapsular rupture) or silicone extending outside the capsule (extracapsular rupture), and peri-implant edema or a surrounding mass would suggest additional pathology. Therefore, the description of an implant with uniform shell margins and no peri-implant fluid best fits a normal, intact implant.