An approach to soft tissue masses. Clinical examination and ultrasound review of soft tissue masses may lead to: A specific diagnosis A mass like lesion No sonographic abnormality Specific diagnosis include a foreign body, henia, ganglion cyst, lymph node, Bone and calcifications, epidermal cysts, abscess and hematoma. Mass like lesions may either be superficial and less than 5cm Characteristic of a lipoma ; consider clinical follow up or MRI Not characteristic of a lipoma; consider excision, needle biopsy, or MRI. Mass like lesions may be deep or greater than 5cm in depth. Please consider an MRI of the extremity in question or a CT of the CHEST and ABDOMEN. In the event of a suspicious clinical examination, but No sonographic abnormality ; consider MRI or CT. Specific diagnosis on US: a foreign body : including wood, glass and metal may be visualised on US. Wood usually has a echogenic focus with abnormal shadowing deep to...
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