help with mass

70 ish year old patient with history of diabetes presents with slowing
growing not painful mass over dorsal proximal forearm – elbow region for 3
years. Thoughts?

Thanks

Adam

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T1 no FS pre

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STIR

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STIR

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T1 TF pre

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T1FS post

ROI over the mid septal part shows no real enhancement

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1 thought on “help with mass”

  1. OCAD

    Hi,
    I think it is nodular fasciiitis. The signal intensity depends on the
    myxoid, collagenous or high cellularity. Components
    Highly collagenous can be hypointense on all pulse sequences. The
    enhancement is typically diffuse but it can be peripheral.
    Other differential such as desmoid can be indolent or aggressive.

    Thanks

    Talaat Youssef
    Sidra Medicine
    Doha, Qatar

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