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April 2015

Hypoechoic lump on the head
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Clinical information

Patient has a painless lump on her head.

Ultrasound Images & Clips

Hypoechoic lump on the head

At first glance the lesion looks hypoechoic and could be mistake for a fluid collection
At first glance the lesion looks hypoechoic and could be mistake for a fluid collection
With proper settings the lesion proved to be for a part anechoic fluid and for a part hypoechoic
With proper settings the lesion proved to be for a part anechoic fluid and for a part hypoechoic
Another image of the mass
Another image of the mass
The hypoechoic part has internal echos
The hypoechoic part has internal echos
With color doppler this part is vascularized
With color doppler this part is vascularized
Another image with color doppler
Another image with color doppler
MRI
MRI 2
MRI 3
MRI 4
MRI 5
MRI 6
MRI 7
This is also a female patien 28 years old also with a painless lump on the head
This is also a female patien 28 years old also with a painless lump on the head
Although the mass is solid it has no vascularity with color doppler
Although the mass is solid it has no vascularity with color doppler
MRI of this patient
MRI of this patient
Another MRI
Another MRI

Conclusion

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

Details

  • Sex: Female
  • Age: 55

Created with

  • Fujifilm Ultrasound System
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photo Taco Geertsma
Author

Dr. Taco Geertsma

Retired Radiologist, Gelderse Vallei Hospital

Dr. Taco Geertsma is the founder of UltrasoundCases.info and a retired radiologist and has worked in the Gelderse Vallei hospital from January 1, 1983. till July 1, 2014. He was the head of the ultrasound department for many years.

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