Lipoma of middle finger

Case contributed by Bahman Rasuli
Diagnosis certain


Gradual swelling left middle finger.

Patient Data

Age: 60 years
Gender: Female

Third finger middle phalanx soft tissue swelling along with radial side and palmar aspect.


Fat equivalent signal subcutaneous mass lesion measuring about  20*25*30 with a few internal septations along with 3rd finger middle phalanx with extension anteroposteriorly on the radial side

Adhesion of the mass to the flexor and extensor tendon sheaths

The mass shows a signal drop on fat-saturated sequences indicating a fat-containing lesion 

No bony invasion and fracture.

Case Discussion

Regarding the T1 hyperintensity of the mass with homogeneous fat saturation, middle finger lipoma is the main diagnosis.

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