Diagnostic sonography SCRS

Leiomyosarcoma Back Lump (Dorsal Wall Ultrasound)

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Leiomyosarcoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-33

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed grayscale and Doppler assessment of the posterior soft tissue structures was carried out in longitudinal and transverse planes.
Clinical indication: Progressive dorsal wall swelling / Pain / Suspicion of aggressive soft tissue neoplasm.

Location: Large soft tissue lesion is noted along the right lateral dorsal wall, involving the deep soft tissue and intermuscular plane.

Soft Tissue Mass: An ill-defined heterogeneous predominantly hypoechoic mass is identified measuring approximately 7.2 × 4.5 cm. The lesion demonstrates irregular infiltrative margins with extension into adjacent soft tissue structures. Internal Characteristics: Areas of internal necrosis are noted within the lesion. Marked heterogeneity of internal echotexture is present. Vascularity: Moderate to marked internal vascularity is demonstrated on Doppler imaging. Adjacent Structures: Infiltration into adjacent soft tissue and intermuscular planes is noted. No definite calcification is identified on current sonographic evaluation.

Impression: Features are suspicious for leiomyosarcoma involving the dorsal wall soft tissues.

Recommendation: Urgent MRI is recommended for staging and assessment of local extent. Histopathological confirmation is essential. Oncological referral is advised.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation has limited capability in assessing the complete extent of deep soft tissue tumors and adjacent osseous involvement.
MRI correlation is recommended for comprehensive staging and treatment planning.
• This report is not valid for medico-legal purposes.

Angioleiomyoma Back Lump (Dorsal Wall Ultrasound)

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Angioleiomyoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-32

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed grayscale and Doppler assessment of the superficial soft tissues was carried out in longitudinal and transverse planes.
Clinical indication: Painful dorsal wall swelling / Palpable soft tissue lesion / Vascular soft tissue mass evaluation.

Location: A focal soft tissue lesion is noted along the right lateral dorsal wall within the subcutaneous plane adjacent to vascular structures.

Soft Tissue Lesion: A well-defined hypoechoic solid lesion is identified measuring approximately 2.4 × 1.3 cm. The lesion appears homogeneous with smooth and well-circumscribed margins. Echotexture: Internal echotexture appears uniform without cystic degeneration, calcification, or necrotic component. Vascularity: Prominent internal vascularity is demonstrated on Doppler imaging, suggestive of vascular smooth muscle origin. Adjacent Structures: No surrounding edema, fascial disruption, or infiltration into adjacent soft tissues is identified.

Impression: Features are suggestive of angioleiomyoma in the dorsal wall.

Recommendation: Clinical correlation is advised. Surgical excision may be considered, especially if painful. Histopathological confirmation is recommended.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may have limitations in complete tissue characterization and assessment of microscopic extension.
Further imaging or histopathological evaluation may be required depending on clinical suspicion.
• This report is not valid for medico-legal purposes.

Leiomyoma Back Lump (Dorsal Wall Ultrasound)

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Leiomyoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-31

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed assessment of the superficial and deep soft tissues was carried out in longitudinal and transverse planes with grayscale and Doppler evaluation.
Clinical indication: Palpable dorsal wall swelling / Localized pain / Soft tissue lesion evaluation.

Location: A focal soft tissue lesion is noted along the right lateral dorsal wall within the subcutaneous plane.

Soft Tissue Lesion: A well-defined oval hypoechoic solid lesion is identified measuring approximately 3.0 × 1.5 cm. The lesion appears homogeneous with smooth and well-circumscribed margins. Echotexture: Internal echotexture appears uniform without cystic degeneration, calcification, or necrotic component. Vascularity: Minimal to no significant internal vascularity is noted on Doppler imaging. Adjacent Structures: No surrounding edema, fascial disruption, or infiltration into adjacent soft tissues is identified.

Impression: Features are suggestive of leiomyoma in the dorsal wall.

Recommendation: Clinical correlation is advised. Follow-up evaluation may be considered if symptomatic or increasing in size.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may have limitations in characterization of certain soft tissue lesions and deep tissue extension.
Further imaging or histopathological correlation may be required depending on clinical findings.
• This report is not valid for medico-legal purposes.

Liposarcoma (High-Grade Undifferentiated) Back Lump (Dorsal Wall Ultrasound)

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Liposarcoma (High-Grade Undifferentiated) – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-29

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed grayscale and Doppler evaluation of the posterior soft tissue structures was carried out in longitudinal and transverse planes.
Clinical indication: Rapidly enlarging dorsal wall swelling / Pain / Suspicion of aggressive soft tissue neoplasm.

Location: Large soft tissue lesion is noted along the right lateral dorsal wall, involving the deep soft tissue and intermuscular plane.

Soft Tissue Mass: A large ill-defined heterogeneous predominantly hypoechoic mass is identified measuring approximately 9.2 × 5.6 cm. The lesion demonstrates irregular infiltrative margins with extension into adjacent soft tissue structures. Internal Characteristics: Marked internal heterogeneity is noted with areas of necrosis and hemorrhagic change. Loss of normal surrounding fat planes is evident. Vascularity: Prominent internal vascularity is demonstrated on Doppler imaging. Adjacent Structures: Infiltration into adjacent soft tissue and intermuscular planes is noted. No definite calcification is identified on current sonographic evaluation.

Impression: Features are highly suspicious for high-grade undifferentiated liposarcoma involving the right lateral dorsal wall.

Recommendation: Urgent MRI is recommended for staging and assessment of local extent. CT scan may be required for metastatic workup. Histopathological confirmation is mandatory. Immediate oncological referral is advised.

Kindly Note:

• Kindly report any typographical errors and submit for correction within 7 days.
Limitations / Technical Factors:
Ultrasound evaluation has limited capability in assessing complete tumor extent, deep tissue involvement, and metastatic disease.
MRI / CT correlation is essential for comprehensive staging and management planning.
• This report is not valid for medico-legal purposes.

Liposarcoma (Low-Grade Myxoid, Recurrent) Back Lump (Dorsal Wall Ultrasound)

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Liposarcoma (Low-Grade Myxoid, Recurrent) – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-29

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed evaluation of the posterior soft tissue structures was carried out in longitudinal and transverse planes with grayscale and Doppler assessment.
Clinical indication: Post-operative swelling / Suspected recurrence of soft tissue neoplasm / Pain at previous surgical site.

Location: Lobulated soft tissue lesion is noted along the right lateral dorsal wall, involving the deep soft tissue and intermuscular plane at the site of prior surgery.

Soft Tissue Mass: A heterogeneous predominantly hypoechoic lobulated mass is identified measuring approximately 7.8 × 4.3 cm. The lesion demonstrates myxoid appearance with areas of cystic change and multiple internal septations. Margins & Extension: Margins appear partially ill-defined with extension along adjacent fascial planes. No definite osseous involvement is appreciated on sonographic evaluation. Vascularity: Mild to moderate internal vascularity is noted on Doppler imaging. Calcification / Necrosis: No calcification is seen within the lesion. Focal cystic / myxoid degenerative areas are present.

Impression: Features are suggestive of recurrent low-grade myxoid liposarcoma involving the right lateral dorsal wall at the previous surgical site.

Recommendation: MRI is strongly recommended for assessment of local extent and recurrence. Comparison with previous imaging studies is advised. Histopathological confirmation is essential. Oncological referral is recommended.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may be limited in assessing the complete extent of deep soft tissue tumors and adjacent osseous or neural involvement.
MRI correlation is recommended for comprehensive characterization and treatment planning.
• This report is not valid for medico-legal purposes.

Liposarcoma Back Lump (Dorsal Wall Ultrasound)

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Liposarcoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-28

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed evaluation of the posterior thoraco-lumbar soft tissues was carried out in longitudinal and transverse planes. Gray-scale and Doppler assessment were performed.
Clinical indication: Back swelling / Palpable soft tissue mass / Pain / Suspicion of neoplastic lesion.

Skin & Subcutaneous Tissue: Overlying skin appears maintained. Subcutaneous tissue demonstrates a large heterogeneous soft tissue lesion in the dorsal wall region.

Soft Tissue Mass: Large deep-seated heterogeneous soft tissue mass is noted showing mixed echogenicity with irregular hyperechoic (fatty) and hypoechoic solid components. Margins appear ill-defined / lobulated. Internal Characteristics: Areas of internal necrosis and cystic degeneration are noted within the lesion. No definite calcification is identified on sonographic evaluation. Vascularity: Increased internal vascularity is demonstrated on color Doppler examination. Adjacent Structures: Possible infiltration into adjacent soft tissue and muscle planes is noted. Further cross-sectional imaging correlation is advised.

Impression: Features are suspicious for liposarcoma involving the dorsal wall soft tissues. Large heterogeneous deep-seated lesion with mixed fatty and solid components, internal vascularity, and possible adjacent infiltration is noted.

Recommendation: Correlation with MRI and histopathological evaluation is strongly recommended for further characterization and staging.

Kindly Note:

• Kindly report any typographical errors and submit for correction within 7 days.
Limitations / Technical Factors:
Ultrasound evaluation has limited capability in assessing the full extent of deep soft tissue tumors and osseous involvement.
MRI / CT correlation may be required for complete lesion characterization and surgical planning.
• This report is not valid for medico-legal purposes.

Fibrolipomatous Hamartoma Back Lump (Dorsal Wall Ultrasound)

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Fibrolipomatous Hamartoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-27

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall / involved peripheral nerve was performed using a high-frequency linear transducer (7–12 MHz). Detailed evaluation of the soft tissue and visualized nerve structures was carried out in longitudinal and transverse planes. Gray-scale and Doppler assessment were performed.
Clinical indication: Soft tissue swelling / Suspected nerve lesion / Tingling sensation / Pain / Numbness / Palpable mass.

Soft Tissue / Nerve: Enlarged peripheral nerve is noted showing hypoechoic nerve fascicles separated by abundant echogenic fibrofatty tissue, producing characteristic “cable-like / coaxial cable” appearance on longitudinal and transverse scans. Common involvement of the median nerve is noted. Echotexture: Internal architecture demonstrates fibrofatty infiltration with preserved fascicular pattern. No cystic degeneration or calcification is seen. Compressibility: Lesion appears non-compressible on probe pressure examination. Vascularity: No significant internal vascularity is noted on Doppler evaluation. Adjacent Structures: No invasion into adjacent muscle planes, vessels, or surrounding soft tissues is identified.

Impression: Findings are consistent with fibrolipomatous hamartoma of nerv. Characteristic enlarged nerve with fibrofatty infiltration and “coaxial cable” appearance is noted

Recommendation: Clinical correlation is advised. MRI may be considered for further characterization and extent evaluation, if clinically indicated.

Kindly Note:

• Kindly report any typographical errors and submit for correction within 7 days.
Limitations / Technical Factors:
Ultrasound evaluation may be limited for deep-seated nerve lesions and adjacent osseous structures.
Clinical correlation and MRI may be required for complete assessment depending on clinical suspicion.
• This report is not valid for medico-legal purposes.

Dermatofibrosarcoma Protuberans Back Lump (Dorsal Wall Ultrasound)

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Dermatofibrosarcoma Protuberans – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-26

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Systematic evaluation of the posterior thoraco-lumbar region was carried out in longitudinal and transverse planes. Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures were assessed.
Clinical indication: Back swelling / Pain / Palpable dorsal wall lump / Suspected soft tissue lesion.

Location: A poorly defined soft tissue lesion is noted in the right lateral dorsal wall involving the dermis and subcutaneous tissue. Soft Tissue Lesion: A poorly defined hypoechoic lesion is seen measuring approximately 4.5 × 2.2 cm. The lesion demonstrates extension from the dermis into the subcutaneous tissue with irregular margins. Internal echotexture appears relatively homogeneous. Muscle / Fascial Planes: No definite deep muscular invasion is evident on sonographic evaluation. Adjacent fascial planes appear maintained. Calcification / Necrosis: No obvious calcification or necrotic component is identified. Vascularity: Mild to moderate internal vascularity is noted on Doppler evaluation.

Impression: Poorly defined hypoechoic soft tissue lesion involving the dermis and subcutaneous tissue of the right lateral dorsal wall with mild to moderate internal vascularity. Features are suggestive of dermatofibrosarcoma protuberans (DFSP).

Recommendation: Further evaluation with MRI is recommended for assessment of lesion depth and extent. Histopathological confirmation is mandatory. Wide local excision with oncological consultation is advised.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may be limited in assessing microscopic spread and complete depth of infiltrative soft tissue lesions.
MRI correlation and histopathological evaluation are essential for definitive diagnosis and surgical planning.
• This report is not valid for medico-legal purposes.

Fibrosarcoma Back Lump (Dorsal Wall Ultrasound)

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Fibrosarcoma – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-25

Location: An ill-defined soft tissue mass is noted in the right lateral dorsal wall involving the deep soft tissue and intermuscular plane. Soft Tissue Lesion: An ill-defined heterogeneous hypoechoic mass is seen measuring approximately 6.8 × 4.1 cm. The lesion demonstrates irregular margins with infiltration into adjacent soft tissues. Internal heterogeneity with focal areas suggestive of necrosis is noted. Muscle / Fascial Planes: Adjacent intermuscular and fascial planes appear infiltrated. No definite calcification is identified. Calcification / Necrosis: Focal internal heterogeneity suggests possible necrotic change. No calcification is seen. Vascularity: Moderate internal vascularity is noted on Doppler evaluation.

Impression: Ill-defined heterogeneous infiltrative soft tissue mass involving the right lateral dorsal wall with moderate internal vascularity and possible necrotic change. Features are suspicious for fibrosarcoma.

Recommendation: Urgent MRI is recommended for assessment of local extent and staging. Histopathological confirmation is essential. Oncological referral is advised for further evaluation and management.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may be limited in characterization of deep soft tissue masses and assessment of complete locoregional extension.
MRI correlation and histopathological evaluation are essential for definitive diagnosis and staging.
• This report is not valid for medico-legal purposes.

Nodular Fasciitis Back lump ultrasound – dorsal wall lesions

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Nodular Fasciitis – Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-25

Dorsal Wall Ultrasound

Location: A focal soft tissue lesion is noted in the right lateral dorsal wall within the subcutaneous plane adjacent to the fascial layer.

Soft Tissue Lesion: A small well-defined hypoechoic lesion is seen measuring approximately 2.1 × 1.3 cm. The lesion appears mildly heterogeneous with a subtle surrounding hypoechoic halo. Muscle / Fascial Planes: Adjacent fascial planes appear preserved. No definite deep muscular invasion is identified. Calcification / Necrosis: No internal calcification or necrotic change is seen. Vascularity: Mild internal vascularity is noted on Doppler evaluation.

Impression: Small well-defined hypoechoic soft tissue lesion involving the right lateral dorsal wall subcutaneous plane with mild internal vascularity. Features are suggestive of nodular fasciitis.

Recommendation: Clinical correlation is advised. Short-term follow-up ultrasound may be considered. Biopsy may be performed if the diagnosis remains uncertain or if interval increase in size is noted.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may be limited in characterization of soft tissue lesions and assessment of microscopic fascial extension.
Clinical correlation and histopathological evaluation may be required for definitive diagnosis.
• This report is not valid for medico-legal purposes.

Fibromatosis (Desmoid Tumor) Back lump ultrasound – dorsal wall lesions

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Fibromatosis (Desmoid Tumor)– Back Lump (Dorsal Wall Ultrasound)

Dorsal wll Ultrasound Case Study Case Study No: R-24

Dorsal Wall Ultrasound

Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Systematic evaluation of the posterior thoraco-lumbar region was carried out in longitudinal and transverse planes. Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures were assessed.
Clinical indication: Back swelling / Palpable dorsal wall lump / Suspected soft tissue lesion.

Location: An ill-defined soft tissue lesion is noted in the right lateral dorsal wall, involving the deep subcutaneous and intermuscular plane. Soft Tissue Lesion: An ill-defined hypoechoic infiltrative lesion is seen measuring approximately 5.6 × 2.8 cm. The lesion demonstrates irregular margins with extension along fascial planes. Internal echotexture appears heterogeneous. Muscle / Fascial Planes: Mild infiltration of adjacent intermuscular and fascial planes is noted. No definite intramuscular fluid collection is identified. Necrosis / Calcification: No internal necrosis or calcification is seen. Vascularity: Mild internal vascularity is noted on Doppler evaluation.

Impression: Ill-defined infiltrative hypoechoic soft tissue lesion involving the right lateral dorsal wall with extension along fascial planes and mild internal vascularity. Features are suggestive of fibromatosis (desmoid tumor).

Recommendation: Further evaluation with MRI is recommended for extent assessment. Histopathological confirmation is advised. Surgical or oncological consultation may be considered.

Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may be limited in assessing deep tissue extension and complete infiltrative extent of soft tissue lesions.
MRI correlation and histopathological evaluation are recommended for definitive characterization.
• This report is not valid for medico-legal purposes.

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

Dorsal Wall Ultrasound

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