Brachial Plexus Disorders:

Plexopathy and Plexitis After Irradiation for Breast Cancer

Late plexopathy after mastectomy and irradiation for breast cancer.

A) This patient had a bright irregular nerves of normal caliber suggestive of a radiation neuritis treatable with steroids.

B) Hyperintense brachial plexus elements of extremely narrow caliber suggest encircling mechanical entrapment associated with post-irradiation fibrosis. Surgical neurolysis may be helpful.

C) Grossly swollen nerve roots and hydrothorax associated with aggressive tumor recurrence and nerve invasion by tumor.

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