Lipoma arborescens

Case contributed by Frank Gaillard
Diagnosis almost certain
mri

An intra-articular mass with mixed T1 and T2 signal, including high T1 with fat attenuation is demonstrated. There is a large effusion with villous intrasynovial fat proliferation, compatible with lipoma arborescens.

Case Discussion

The patient went on to have a biopsy that confirmed the diagnosis of a lipoma arborescens of the knee. 

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