Hi all,
I hope everyone is well!
I’m reading a case from a site we help decompress MSK MR and have a strange one to share.
46 yo with “mass on hand and wrist growing for over 10 years, lots of pain radiating through entire right upper extremity.”
Given a lack of any enhancement I’m thinking this is bad lymphedema but I have no history of prior ax LN dissection. (Though I suppose it’s possible), NF, or other lymphatic obstructing entities (though that doesn’t mean there isn’t one). The 10 year history of “growing mass” also bothers me.
Any other things I should consider? Without enhancement something like dermatofibrosarcoma protuberans doesn’t make sense. Doesn’t look mass like enough for well diff’d liposarcoma.
Any other thoughts would be appreciated! Images provided below.
Thanks
Ben
T1:
STIR:
T1FS post:
Ax T2FS
AxT1FS post:
Sent from my iPhone
