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Ultrasonography of superficial soft tissues

1,697 bytes added, 12:57, 6 February 2019
Potential findings
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|author1=[[User:Mikael Häggström|Mikael Häggström]]
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==Planning==
===Choice of modality===
*'''Ultrasonography of superficial soft tissues''' is the investigation of choice in stable superficial soft tissue masses of unknown origin, at least in flexion surfaces of large joints (groin, popliteal fossa, armpit and cubital fossa).
*'''MRI''' is the imaging modality of choice in suspected lipoma, with superior sensitivity of distinguishing it from liposarcoma as well as mapping the surrounding anatomy.<ref>{{cite web|url=https://radiopaedia.org/articles/lipoma|title=Lipoma|author=Rohit Sharma and A.Prof Frank Gaillard et al.|accessdate=2018-09-27|website=Radiopaedia}}</ref>

==Evaluation==
Possible findings:
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File:Ultrasonography of a normal lymph node.jpg|thumb|A typical '''normal lymph node''': smooth, gently lobulated oval with a hypoechoic cortex measuring less than 3 mm in thickness with a central echogenic hilum.<ref name=Dialani2014>{{cite journal|last1=Dialani|first1=V.|last2=James|first2=D. F.|last3=Slanetz|first3=P. J.|title=A practical approach to imaging the axilla|journal=Insights into Imaging|volume=6|issue=2|year=2014|pages=217–229|issn=1869-4101|doi=10.1007/s13244-014-0367-8}} Creative Commons attribution license</ref>
File:Ultrasonography of a '''suspected malignant lymph node''', with Doppler.jpg|A suspected malignant lymph node:<br>- Absence of the fatty hilum<br>- Increased focal cortical thickness greater than 3 mm <br>- [[Doppler ultrasonography]] that shows hyperaemic blood flow in the hilum and central cortex and/or abnormal (non-hilar cortical) blood flow.<ref name=Dialani2014/>
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