EURORAD ESR

Case 8980

Woman with a painful mass in the ulnar fossa of the right elbow (ECR 2005 Case of the Day)

Author(s)
Ros Mendoza L1, Mayayo Sinués E1, Marín Cárdenas MA1, Azúa RomeoJ2, De la Cueva Barrao L3.

Deparment of 1) Radiology, 2) Pathology* and 3) Nuclear Medicine, University Hospital Miguel Servet, Zaragoza, Spain.
 
Patient
female, 56 year(s)
 
 
  • Figure 1
    Fig 1

    Figure 1. Ultrasonographic study, medial sagittal plane. Mixed mass, with a cystic component and a hyperechogenic, fatty, component.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Ultrasound;
     
     
  • Figure 2
    Fig 2

    Figure 2. Axial FSE T1 MR image. Mass located between the bicipital tendon and the radius, with a mixed signal, and hyperintense areas corresponding to fatty tissue proliferations.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR;
     
     
  • Figure 3
    Fig 3

    Figure 3. Sagittal FSE T2, fat suppressed, MR. Mass with a hyperintense fluid component, inner formations of low signal intensity related to fat suppression.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR;
     
     
  • Figure 4
    Fig 4

    Figure 4. Axial GRE T2* MR. Fluid collection with areas of low signal intensity.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR;
     
     
  • Figure 5
    Fig 5

    Figure 5. Axial FSE T1, fat suppressed, MR after intravenous contrast administration. Increase of signal intensity of the mass related to sinovitis.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR;
     
     
  • Figure 6
    Fig 6

    Figure 6. Isotopic scan. Increase of vascularity of the radial border of the right forearm in the vascular phase (*) and a slight increase of intake in the osseous phase (→).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Nuclear medicine conventional;
     
     
  • Figure 7
    Fig 7

    Figure 7. Microscopic correlation. Subsinovial proliferations, presence of mature adipocytes (*), chronic inflammatory infiltrates and vascular congestion.

     
    Area of Interest: Musculoskeletal soft tissue; Procedure: Biopsy;
     
     
Figure 1. Ultrasonographic study, medial sagittal plane. Mixed mass, with a cystic component and a hyperechogenic, fatty, component.
 
Figure 2. Axial FSE T1 MR image. Mass located between the bicipital tendon and the radius, with a mixed signal, and hyperintense areas corresponding to fatty tissue proliferations.
 
Figure 3. Sagittal FSE T2, fat suppressed, MR. Mass with a hyperintense fluid component, inner formations of low signal intensity related to fat suppression.
 
Figure 4. Axial GRE T2* MR. Fluid collection with areas of low signal intensity.
 
Figure 5. Axial FSE T1, fat suppressed, MR after intravenous contrast administration. Increase of signal intensity of the mass related to sinovitis.
 
Figure 6. Isotopic scan. Increase of vascularity of the radial border of the right forearm in the vascular phase (*) and a slight increase of intake in the osseous phase (→).
 
Figure 7. Microscopic correlation. Subsinovial proliferations, presence of mature adipocytes (*), chronic inflammatory infiltrates and vascular congestion.
 
 
 
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