Nodular fasciitis of the neck

Case contributed by Kareem Mohamed
Diagnosis certain

Presentation

Right sided neck swelling.

Patient Data

Age: 20 years
Gender: Female
mri
This study is a stack
Coronal
T1
This study is a stack
Coronal
STIR
This study is a stack
Axial
T1
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
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Info

Right supra-clavicular well defined mass lesion related to right brachial plexus shows isointense signal in T1 and heterogeneous hyperintense signal in T2 with avid enhancement on post-contrast study.

Case Discussion

Histopathology and immunohistochemistry showed features of nodular fascitis.

Possible differential in this case include nerve sheath tumor (schwannoma, neurofibroma) due to close proximity to brachial plexus.

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