Findings, case of 58 y/o woman, swelling of right calf

Imaging Findings

A zoomed-in radiograph of the proximal right tibia and fibula demonstrates periostial reaction involving the lateral cortex of the proximal tibia and the medial cortex of the proximal fibula. There is no bony destruction evident and no apparent soft tissue mass. The periostial reaction seems fairly benign and does not appear to be an acute development.

A T1-weighted coronal magnetic resonance (MR) image of the proximal tibia and fibula shows irregular T1 hyperintense mass posterior to the tibia. Peripheral ring enhancement is visible inferiorly. The mass is hyperintense on STIR and proton density images and shows no enhancement (fluid intensity) on a T1 fat-sat, post-gadolinium image. On a collection of axial images including proton density, T1 fat-sat, T1 fat-sat, post-gadolinium, and T2 fat-sat images, the mass has fluid intensity and displays no significant enhancement with the exception of a narrow rim of high T2 signal. The mass appears to be displacing rather than invading the muscle tissue.

The Full Case Report

• Return to the Teaching Case Database search page
• Return to Professional Education
  
• About BrighamRAD

Dear Visitors: Nothing on this World Wide Web site should be considered medical advice. Only your own doctor can help you make decisions about your medical care. It is not the policy of the Brigham and Women's Hospital Department of Radiology to provide consultation on the World Wide Web or via e-mail. If you have a specific medical question or are seeking medical care, please call the Brigham and Women's Hospital toll-free physician referral line at 1-800-294-9999.

Is this a mirrored page?
The official homepage of the BrighamRAD Teaching Case Database is http://brighamrad.harvard.edu/education/online/tcd/tcd.html