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Case 295.

Beth Vettiyil1, Behrang Amini1

  • 1From the Department of Radiology, Centra Southside Hospital, 800 Oak St, Farmville, VA 23901 (B.V.); and Department of Musculoskeletal Imaging, MD Anderson Cancer Center, Houston, Tex (B.V., B.A.); and Department of Diagnostic Radiology, The University of Texas Medical School, Houston, Tex (B.A.).

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A man presented with thigh swelling, initially diagnosed as lymphangioma. Further imaging revealed the true nature of the lesion, guiding subsequent management.

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Area of Science:

  • Medical imaging
  • Diagnostic radiology
  • Oncology

Background:

  • A 57-year-old male presented with a 6-month history of painless right thigh swelling.
  • Initial work-up and diagnosis at an outside institution suggested lymphangioma.
  • The swelling progressively worsened over the subsequent year.

Purpose of the Study:

  • To investigate the cause of progressive thigh swelling.
  • To characterize the thigh lesion using advanced imaging modalities.
  • To establish an accurate diagnosis for appropriate patient management.

Main Methods:

  • Ultrasound (US) evaluation of the thigh lesion.
  • Magnetic Resonance Imaging (MRI) scan of the entire thigh lesion.
  • Computed Tomography (CT) scan of the abdomen and pelvis.

Main Results:

  • Detailed imaging findings from US, MRI, and CT scans were obtained.
  • These imaging studies provided comprehensive characterization of the thigh lesion.
  • The results were crucial in refining the initial diagnosis.

Conclusions:

  • Advanced imaging techniques like US, MRI, and CT are essential for diagnosing complex thigh lesions.
  • The comprehensive evaluation facilitated a more accurate diagnosis than initial assessments.
  • Further investigation was warranted based on the imaging findings.