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15b - Answer: 58-year-old male presents with mild swollen distal 3rd digit

Pomeranz, Stephen
Stephen J Pomeranz, MD
Chief Medical Officer, ProScan Imaging. Founder, MRI Online
Includes DICOM files

HISTORY: 

This 58-year-old male presents with mild swollen distal 3rd digit of left hand and pain for 10 years. Difficulty with using hand.

PRIMARY FINDING: 

Lipoma.

Using the diagnostic web viewer, we have provided images that assist in telling our clinical story. Areas of significance are indicated below.

FINDINGS:

No acute bony macrofracture or contusion. No acute ligamentous sprain. The flexor and extensor tendons intact. 

A 1cm in depth, 2.4cm in width and 3.5cm in length lesion with gross fat volar to the proximal phalanx of the 3rd digit, associated with no surrounding soft tissue edema. 

IMPRESSION:

Left Hand: A lobulated mass with gross fat volar to the proximal phalanx of the 3rd digit consistent with a lipoma, less likely spindle cell lipoma.

LESSON 2, TOPIC 45

Case Challenge: Hand MRI Cases

Case Challenge

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Content reviewed: July 19, 2021

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