Intramuscular lipoma

Case contributed by Rania Adel Anan
Diagnosis almost certain

Presentation

Right posterolateral back firm non painful swelling.

Patient Data

Age: 45 years
Gender: Male
ct

Well-circumscribed intra-muscular homogenous fat density mass with fine internal septum is seen within the right latissimus dorsi muscle. It measures about 3.5 x 7 x 7.5 cm in its AP x T x HT respectively.

Case Discussion

CT features are of an intramuscular lipoma.

The most common differential diagnosis is well-differentiated liposarcoma which is usually bigger in size (>10 cm) and usually shows a percentage fat <75%, thick or nodular (>2 mm) septa, nodular/globular areas and prominent enhancement.

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