| Discussion: Focal fat necrosis is quite common in the breast. Most commonly it is demonstrated incidentally on mammograms, but it can appear as a palpable, sometimes painful mass with associated skin thickening and retraction. There is frequently a history of trauma to the breast, particularly after surgery, and this form of fat necrosis has been termed "post-traumatic oil cyst". The typical appearance of these lesions is a lucency surrounded by distortion and spiculation (simulating a cancer). Calcification may also be present in fat necrosis. Fat necrosis, per se, has no malignant potential. |