Tuesday, May 12, 2015

Juvenile fibromatosis of the hand (MR).








PROTOCOL:     Sagittal, Coronal and axial T1 and T2 Wt                                         sequences.
          Axial T2 Wt IR FSE sequence.

FINDINGS:

• Post surgical status revealed:
• Single ovale mass of abnormal MR signal in the medial side of the plantar surface of the right hand with measurement of about 43 (sagittal diameter) & 25 mm (transverse diameter) and 29 mm (height). It causes stretching; compression and invasion of the underlying skin with T1 hypo intensity and Stir hyper intensity.
• Another lesion in the carpal tunnel with stretching of the flexor retinaculum and plantar compression of the flexor group of muscles in addition to median nerve for clinical correlation. 
• Another two small lesions in the lateral aspect of the hand; the first one between 4th and 5th metacarpal bones while the other one lateral to the fifth meta carpal bone.
• Non visualization of the index finger.

IMPRESSION:

• Picture is suggestive of recurrent right hand fibromatosis.


Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin 

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