Nodular fasciitis

Case contributed by Erik Ranschaert , 23 Nov 2011
Diagnosis probable
Changed by Amir Rezaee, 28 Sep 2015

Updates to Case Attributes

Diagnostic Certainty was set to .
Presentation was changed:
Urgent ultrasound requested by general practitioner for cancerophobic young man (22 yrs old) withwith a palpable "mobile" solid nodule in the right upper thigh .

Updates to Study Attributes

Findings was added:

 Ultrasound shows a subcutaneously located sharply demarcated hypoechoic solid lesion. Color doppler shows mild increase internal vascularity.

Images Changes:

Image Ultrasound (Transverse) ( update )

Single Or Stack Root was set to .

Image Ultrasound (Transverse) ( update )

Single Or Stack Root was set to .

Updates to Study Attributes

Findings was added:

Sharply demarcated ovoid lesion in the subcutaneous tissue with signal iso-intense to muscular tissue. sagittal T1 image well demonstrates the superficial location in the upper thigh and the homogeneous hypo-intense signal comparable to muscle. Sagittal T2 FS well demonstrates the homogenous T2 hyperintensity of the lesion. Late series after IV contrast administration show mildly enhancement of the lesion. Dynamic contrast enhancement curve showing a slow linear uptake of gadolinium (type 1 pattern)

Images Changes:

Image MRI (T1) ( update )

Single Or Stack Root was set to .

Image MRI (T2 fat sat) ( update )

Single Or Stack Root was set to .

Image MRI (T1 C+ fat sat) ( update )

Single Or Stack Root was set to .

Image MRI (T1 C+) ( update )

Single Or Stack Root was set to .

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