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Case of the Month

April 2015

Patient Data: 55 year old female patient

Clinical Info: She has a painless lump on her head


55716-Afbeelding2.jpg
At first glance the lesion looks hypoechoic and could be mistaken for a fluid collection or an old hematoma


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With proper settings the lesion proved to be for a part anechoic fluid and for a part hypoechoic


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Another image of the mass


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The hypoechoic part has internal echos


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With color doppler this part is vascularized


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Another image with color doppler


60734-Mijn_Film_1.swf MRI


60735-Mijn_Film_2.swf MRI 2


60739-Mijn_Film_3.swf MRI 3


60740-Mijn_Film_4.swf MRI 4


60741-Mijn_Film_5.swf MRI 5


60742-Mijn_Film_6.swf MRI 6


60743-Mijn_Film_7.swf MRI 7


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This is also a female patient 28 years old also with a painless lump on the head


55723-Afbeelding9.jpg
Although the mass is solid it has no vascularity with color doppler


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MRI of this patient


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Another MRI

The first lesion proved to be a large cell B lymphoma. It must be differentiated from the much more common lipoma from the second patient

For other masses on the head see

Copyright © Dr. T.S.A. Geertsma, Ziekenhuis Gelderse Vallei, Ede, The Netherlands. All rights reserved.

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