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The purpose of the technique was to develop a method of performing ultrasound-guided percutaneous biopsy of the augmented breast that would reduce risk of causing implant rupture. Using adhesive tape, we have displaced retropectoral implants away from the lesion to be biopsied. This resulted in greater space between the lesion and the implant and allowed ultrasound-guided biopsy to be accomplished with greater ease and with reduced risk of rupturing the implant.

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An 83-year-old woman with history of hypertension treated chronically with verapamil 360 mg daily, presented with refractory hypokalemia and hypochloremic alkalosis. Initial physical examination demonstrated mild hypertension with proximal muscle weakness and normal cardiovascular exam.Initial workup revealed an a.m. cortisol level of 70 mcg/ dl (6-23), a 24-h urine-free cortisol of 5,719 lg (10-100), 1 mg overnight dexamethasone suppression test that showed a morning cortisol level of 54.6 lg/dl, and ACTH level of 123 pg/ml (6-58).