Presentation
Anterior knee swelling - 2 wks. No trauma.
Patient Data
There is prepatellar thin walled collection with internal septa and fluid-fluid levels. It measures about 40 x 35 x 15 mm. There is no vascularity in wall / septa.
There is subcutaneous anechoic fluid collection ( 27 x 15 x 6 mm ) anterior to tibial tuberosity and distal patellar tendon.
There is normal amount of fluid in deep infra-patellar bursa region.
There is no suprapatellar joint effusion.
Quadriceps tendon - Intact with normal echopatten
Patellar tendon - Intact with normal echopatten
Hoffa’s fat pad – Homogeneous echopattern. No mass lesion.
Case Discussion
Findings favor pre patellar and superficial infrapatellar bursitis.