EURORAD ESR

Case 14975

Nodular fasciitis of the wrist simulating carpal tunnel syndrome

Author(s)
P.Hernandez Mateo

Hospital Clinico San Carlos, Radiology Department; C/Profesor Martin Lagos SN 28040 Madrid, Spain; Email:phmaula@gmail.com
 
Patient
female, 50 year(s)
 
 
  • Figure 1
    Ultrasound Power Doppler

    Ultrasound Power Doppler image showing a solid hypoechoic lesion at the volar aspect of the hand between the flexor tendoms (white arrows) with remarkable signal at Power-Doppler.

     
    Area of Interest: Extremities; Imaging Technique: Ultrasound-Power Doppler; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Axial T1 weighted image

    Axial T1 weighted imaging showing an hyperintense mass compared to the muscle between the flexor tendoms of the hand and involving the median nerve.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Axial T2 Fat Sat weighted image

    T2 Fat Sat sequence showing an hyperintense mass between the flexor tendoms and involving the median nerve.

     
    Area of Interest: Extremities; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Coronal T1 Fat Sat post-gadolinium

    Coronal T1 Fatsat postcontrast image showing nodular enhancement of the lesion with a central non-enhancing portion.

     
    Area of Interest: Extremities; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 5
    T1 sagital Fat Sat post-gadolinium

    Sagital T1 Fatsat post-gadolinium image showing intense enhancement of the lesion and extension between the flexor tendoms

     
    Area of Interest: Extremities; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Ultrasound Power Doppler image showing a solid hypoechoic lesion at the volar aspect of the hand between the flexor tendoms (white arrows) with remarkable signal at Power-Doppler.
 
Axial T1 weighted imaging showing an hyperintense mass compared to the muscle between the flexor tendoms of the hand and involving the median nerve.
 
T2 Fat Sat sequence showing an hyperintense mass between the flexor tendoms and involving the median nerve.
 
Coronal T1 Fatsat postcontrast image showing nodular enhancement of the lesion with a central non-enhancing portion.
 
Sagital T1 Fatsat post-gadolinium image showing intense enhancement of the lesion and extension between the flexor tendoms
 
 
 
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