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Lumps and Bumps

Lumps and Bumps . DR ANUPAM .A .DUDANI DMRE DNB Consultant R adiologist HHS. Ultrasound is the first choice of investigation for a range of superficial lumps and bumps ,musculoskeletal (MSK) complaints and for investigating hernias in the femoral or inguinal canal or abdominal wall.

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Lumps and Bumps

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  1. Lumps and Bumps DR ANUPAM .A .DUDANI DMRE DNB Consultant Radiologist HHS

  2. Ultrasound is the first choice of investigation for a range of superficial lumps and bumps ,musculoskeletal (MSK) complaints and for investigating hernias in the femoral or inguinal canal or abdominal wall. • USG is a cost-effective and dynamic way to interrogate superficial lumps and bumps.

  3. COMMON PATHOLOGIES • Lipoma • Sebaceous Cyst • Haematoma • Granuloma • Neuroma • Lymph Node

  4. NOT SO COMMON CAUSES Muscle Herniation Abdominal Wall Fibromatosis Cyst Cellulitis Foreign Body Fat Necrosis Sarcoma Hernia Superficial Thrombophlebitis

  5. ROLEOF ULTRASOUND 1. Is there a mass or not? 2. Is it cystic or solid? 3. What is the mass? 4. Can we biopsy the mass?

  6. lipomas

  7. Giant cell tumour

  8. Sebaceous cyst .

  9. Lymph node

  10. Allergic reaction

  11. FNAC thyroid nodule

  12. Intramuscular hematoma

  13. MOST COMMON LUMPS LIPOMAS

  14. EXTENDED FIELD OF VIEW LIPOMA ECHOGENIC MASS WITH RETICULAR PATTERN AND CAPSULE

  15. fnacis indicated With irregularly-shaped or large lipomas (greater than 5 cm in diameter).

  16. CERVICAL LYMPHADENOPATHY

  17. NORMAL SIZED L NODES

  18. Cellulitis:dilated hypoechoic channels s/odilated lym.

  19. H/o blunt injury causing hard lump at site of injury .usg to rule out muscle injury.

  20. .in this case changes confined to fat layer.usg helps to rule out muscle hematoma or abscess which will change the mngmnt

  21. SOLID NODULE PALPABLE OVER PAROTID REGION

  22. BIOPSY WAS DONE PLEOMORPHIC ADENOMA

  23. OLD LADY WITH H/O LUMP OVER LT GLUTEAL REGION,

  24. ON USG A COLLECTION/ABCESS WAS SEEN CONFINED TO SUBCUTANEOUS SPACE AND NO TRACKING

  25. palpable Lump in rt axilla on usg appeared suspicious for malignancy

  26. On fnac duct carcinoma was diagnosed

  27. left submandibular gland calculus

  28. Patient presented with swelling and pain over submandibular region

  29. Superficial thrombophlebitis is inflammation of a vein just under the skin, usually in the leg. condition usually settles and goes within 2-6 weeks. However, in a small number of cases, complications can occur with superficial thrombophlebitis including extension of the blood clot further up the vein.

  30. Superficial thrombophleb-itis

  31. Tenosynovitis

  32. VASCULAR MALFORMATIONS

  33. PLANTAR FIBROMA

  34. Welcome bumps

  35. THANK YOU

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