4.75 CME
62 Videos
23 Clinical Cases
4.75 CME
Course Description
Soft Tissue Masses MRI — Course Overview
Soft tissue masses are the brain teasers of imaging. There are a few that are pathognomonic, some that narrow down to either/or, and a whole lot that fall into the “could be”/differential of likelihood range. We’ve seen plenty, and though there are a few where we’re still looking for that perfect example of a proven entity, over time we’ve collected examples of many masses that might cross your monitors.
The risk of “pitfalls” in this area goes up considerably, especially if there aren’t a lot of distinguishing symptoms or clear indications. We recently had a case of rectosigmoid mass which was obscured by superimposed uterine fibroids and therefore missed by the original (very experienced) reader. Maybe you’ll have a correlative prior study or relevant CT…but more likely you won’t. If your referring clinician is a primary care provider or nonspecialist, your report becomes even more important to help guide the subsequent treatment path.
There are no doubt many areas where you have a certain level of experience/comfort – gout, ganglia, epidermoid, glomus tumors, plantar fibromatosis, pseudocysts etc. But maybe the patient age or other metrics don’t seem to match what you think is the likely diagnosis. What about the less common masses that vary in presentation, or you haven’t seen that often? It’s a lot easier to identify lymphatic anomalies or serous cystadenoma after you’ve seen a few,
The Soft Tissue Masses MRI Mastery Series can help shed some light in this diagnostic wilderness. We can share T1 vs T2 vs PD appearance tips, advantages and disadvantages of other delineating sequences, exclusion trees and subtle (as well as not so subtle) hints to help point you in the right direction. Enchondroma vs chondromyxoid fibroma? Just what is that in the synovium? We can’t answer every question, but we can share a pretty deep dive in this massive topic and give you a more thorough grounding in the endless possibilities throughout the body. We have the advantage of expertise (and substantial volume) in MSK, neuro and body MR. Better yet, we continue to add to this topic as we see more cases (and even manage to snag pathology if we’re lucky).
Join us on the path to improving our skills together – tease your brain with our Soft Tissue Masses Mastery Series (with some supplementary Professional Series bone and soft tissue masses) and give yourself an upgrade your referrers and patients will appreciate!
Soft Tissue Masses MRI Anatomy & Diagnoses Covered in this Course
- Adipocytic
- Ankle / Foot
- Arteriovenous fistula (AVF)
- Arteriovenous malformation (AVM)
- Desmoid
- Edema
- Elastofibroma dorsi
- Elbow
- Epidermoid
- Fibroblastic
- Fibrohistiocytic
- Fibrosarcoma
- Finger / Hand
- Ganglion pseudocyst
- Glomus
- Gout (differentiation from)
- Head
- Hemangiomas (e.g. congenital, infantile, syndromic)
- Hip
- Juvenile angiofibroma
- Knee
- Lipofibromatosis
- Lymphangioma
- Lymphatic malformations
- Lymphoma
- Malignant fibrous histiocytoma (MFH)
- Morel-Lavallée
- Myositis ossificans
- Neck
- Paraganglioma
- Pericytic
- Pigmented villonodular synovitis (PVNS)
- Plantar fibromatosis
- Schwannoma
- Shoulder
- Skeletal muscle
- Smooth muscle
- Synovial sarcoma
- Vascular malformations
- And much more…
Soft tissue masses are the brain teasers of imaging. There are a few that are pathognomonic, some that narrow down to either/or, and a whole lot that fall into the “could be”/differential of likelihood range.
Learning Outcomes & CME Information
Instructors
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
ProScan Imaging
Lesson
MRI Mastery Series - Soft Tissue Masses: Assessing & Classifying Masses
1 hr. 47 min.
Defining Soft Tissue Masses
3 m.
Approach to Soft Tissue Masses
4 m.
Characterizing Masses Using T2 Imaging
7 m.
Imaging Signs
10 m.
Assessing the Presence of Edema
6 m.
Adipocytic Masses
6 m.
Fibroblastic and Myofibroblastic Masses
4 m.
Benign Fibroblastic and Myofibroblastic Masses
3 m.
Locally Aggressive Fibroblastic and Myofibroblastic Masses
5 m.
Rarely Metastasizing Fibroblastic and Myofibroblastic Masses
3 m.
Malignant Fibroblastic and Myofibroblastic Masses
2 m.
So-called Fibrohistiocytic Masses
4 m.
So-called Fibrohistiocystic Masses: Uncommon Lesions
5 m.
Smooth Muscle, Skeletal Muscle & Pericytic Lesions
4 m.
Hemangiomas
3 m.
Hemangioma and Vascular Lesions
4 m.
Hemangioma Subtypes
5 m.
Benign Vascular Masses
2 m.
Infantile Hemangiomas
2 m.
Congenital Hemangiomas
2 m.
Infantile Vs. Congenital Hemangiomas
2 m.
Syndromic Hemangioma
2 m.
Hemangioma Treatment
3 m.
Hemangioma Vs. Vascular Anomalies
3 m.
Vascular Malformation – Venous Type
4 m.
Vascular Malformation Treatment
2 m.
Lymphatic Malformations
4 m.
Imaging Appearance of Lymphatic Lesions
4 m.
AVM Vs. AVF
4 m.
Schobinger Staging of AVM’s
3 m.
Less Common Vascular Anomalies
3 m.
Vascular Malformations – Critical Exclusions
3 m.
Unusual and Unclassified Soft Tissue Masses
3 m.
Lesson
MRI Mastery Series - Soft Tissue Masses: Case Review
23 Clinical Cases
3 hr. 2 min.
4 Year Old Female with Pain and Limping
5 m.
41 Year Old Male with Left Neck Mass: Approach
12 m.
41 Year Old Male, Companion Case Review
11 m.
15 Year Old Male With a Track & Field Injury Several Months Prior to Study
4 m.
15 Year Old Male Companion Case Review
6 m.
14 Year Old Male, Sustained Injury to Thigh
5 m.
58 Year Old Male with Mildly Painful Lump in 2nd Metatarsal
7 m.
58 Year Old Male Companion Case Review
8 m.
45 Year Old Male, Pain and Lump in Knee
9 m.
17 Year Old Male, Complaining of Dorsal Foot Pain
6 m.
56 Year Old Female with Lateral Ankle Pain
5 m.
29 Year Old Female with Wrist Discomfort for Four Months
6 m.
57 Year Old Male with Palpable Mass in the Medial Aspect of the Thigh
11 m.
17 Year Old Male with “Torque” Like Injury
5 m.
59 Year Old Male with Pain in the Nail Bed
5 m.
33 Year Old with Stiffness in Index Finger and Chronic Wrist Pain
6 m.
19 Year Old Male with Known Mass in Head and Neck
3 m.
19 Year Old Male, Companion Case
5 m.
75 Year Old Male, Mass in the Scapular Region
8 m.
51 Year Old Female with Chondromalacia and Pain
9 m.
34 Year Old Male with Pain Wrapping Around the Wrist
8 m.
57 Year Old, Sustained Injury in the Region of the Quadriceps
9 m.
43 Year Old Female, Companion Case
6 m.
43 Year Old Female with Mass in Hand
6 m.
43 Year Old Female, Companion Case – Important Differentials
7 m.
2 Year Old With Chest Wall Mass, Enhancing in Size
6 m.
39 Year Old Male with Mass in Finger and Previous Pinching Injury
8 m.
41 Year Old Female with Known Desmoid Tumor
6 m.
3 Year Old with Right-Sided Neck Mass
4 m.
Course Evaluation
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