Lumps and Bumps DR ANUPAM .A .DUDANIDMRE DNBConsultant Radiologist 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.

• USG is a cost-effective and dynamic way to interrogate superficial lumps and bumps.

• Lipoma

• Sebaceous Cyst

• Haematoma

• Granuloma

• Neuroma

• Lymph Node

COMMON PATHOLOGIES

NOT SO COMMON CAUSES

Muscle HerniationAbdominal Wall FibromatosisCystCellulitisForeign BodyFat NecrosisSarcomaHerniaSuperficial Thrombophlebitis

ROLE OF 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?

lipomas

Giant cell tumour

Sebaceous cyst

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Lymph node

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Allergic reaction

FNAC thyroid nodule

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Intramuscular hematoma

MOST COMMON LUMPS

LIPOMAS

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

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

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CERVICAL LYMPHADENOPATHY

NORMAL SIZED L NODES

Cellulitis:dilated hypoechoic channels s/odilated lym.

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

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

SOLID NODULE PALPABLE OVER PAROTID REGION

BIOPSY WAS DONE PLEOMORPHIC ADENOMA

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

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

palpable Lump in rt axilla on usg appeared suspicious for malignancy

On fnac duct carcinoma was diagnosed

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left submandibular gland calculus

Patient presented with swelling and pain over submandibular region

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.

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Superficial thrombophleb-itis

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Tenosynovitis

VASCULAR MALFORMATIONS

PLANTAR FIBROMA

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