Thank you all for your impressively numerous and quick replies.
The vote went 28:1 in favour of chronic Morel-Lavallée (degloving) lesion.
Have a great day!
Andrei
Herzliche Grüsse
Andrei Dumitrescu
Hi there,
this is a 60 year old man who’s had this "bump" at the left hip for years and now wants to know what it is. It doesn’t hurt or grow. The patient dimly remembers a skiing accident years ago.
The lesion is epifascially located and consists of a thickly encapsulated liquid collection with fluid-fluid levels and some solid inclusions caudally.
To me this could well be old haematoma with calcifications. If it had been next to a tendon or joint I would have said chronic synovitis or synovial (osteo)chondromatosis. I have seen a few deceptively benign looking synovial sarcomas over the years, but those were in a deeper location.
What is your impression?
Cheers, and have a great week!
Andrei
