Ganglion cyst

Case contributed by Dr Goran Mitrovic

Presentation

A slowly growing and painless swelling at the palmar side of hand close to the third digit metacarpophalangeal (MCP) joint.

Patient Data

Age: 40 years
Gender: Female
MRI

Approximately 5 mm large T1-hypointense and T2-hyperintense lesion of the right hand close at the palmar side of the middle finger near the metacarpophalangeal joint. It is associated with the flexor tendon. There is slight rim enhancement of the gadolinium-based contrast agent.

(The Adalat capsule is a strongly T1w- and T2w-hyperintense marker on the skin surface.)

Case Discussion

This case illustrates a ganglion cyst of the hand, the most common cyst within the hand and wrist.

Differential diagnosis to be considered:

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