Elbow MRI 14M chronic sts, occasional pain, asymmetric “growth” Please help

I received 2 responses from Drs. Guilford and Simoni, both who strongly favor PVNS….though it’s an unusual location.

Dr. Guilford suggested f/u XRs to look for calcification/ ossification possibly related to myositis ossificans—-in the unlikely event that the prior radiographs were just too soon to see any.
I think it’s a great suggestion and I will recommend it.

On Mon, Feb 6, 2023 at 12:16 PM hilary umans <hilary.umans> wrote:

Mass medial to distal biceps (red arrow) in close proximity to the distal brachialis tendon (blue arrow), but really between the two

https://musculoskeletalkey.com/bursitis-4/

Peripheral and septal dark T1/PDFS signal, seems to bloom on GRE.
No mineralization on XRs from August.
I want to call this PVNS (GCTTS).
I don’t think the brachialis has a tendon sheath.
I found an anatomic reference for elbow bursae…I want to call this PVNS of antecubital interosseous bursa (which I never heard of until now)…do you agree?
Is there any DDx?

Hilary

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