A 64 year old male with mildly painful progressive swelling in left hand wich was originally suspected to be a cyst, but ultrasound proved it wrong. Unfortunately don't have US images because it was made in another clinic, but the recommendation was to order an MR of the hand. No history of trauma or infection to our concern.
Here are the relevant images:
STIR CORONAL
STIR AXIAL
T1 CORONAL
T1 POST GAD
T2 CORONAL
T2 AXIAL
Differentials?
Later I'll post the conclusion of this biopsy proven case.
Enchondroma most likely. Unlikely: GCT, hemangiopericytoma?
ResponderEliminarIt was an agressive Chondroblastoma.. GCT was the main differential but path reported great condorid matrix in oppose to fibroid matrix seen in GCT. Thank you for your comment.
ResponderEliminar