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Lumps and Bumps DR ANUPAM .A .DUDANI DMRE DNB Consultant Radiologist HHS

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Lumps and Bumps . DR ANUPAM .A .DUDANI DMRE DNB Consultant R adiologist HHS. Ultrasound is the first choice of investigation for a range of superficial lumps and bumps ,musculoskeletal (MSK) complaints and for investigating hernias in the femoral or inguinal canal or abdominal wall. - PowerPoint PPT Presentation

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Lumps and Bumps DR ANUPAM .A .DUDANIDMRE DNBConsultant Radiologist HHS

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• Ultrasound is the first choice of investigation for a range of superficial lumps and bumps ,musculoskeletal (MSK) complaints and for investigating hernias in the femoral or inguinal canal or abdominal wall.

• USG is a cost-effective and dynamic way to interrogate superficial lumps and bumps.

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• Lipoma

• Sebaceous Cyst

• Haematoma

• Granuloma

• Neuroma

• Lymph Node

COMMON PATHOLOGIES

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NOT SO COMMON CAUSES

Muscle HerniationAbdominal Wall FibromatosisCystCellulitisForeign BodyFat NecrosisSarcomaHerniaSuperficial Thrombophlebitis

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ROLE OF ULTRASOUND

• 1. Is there a mass or not?

• 2. Is it cystic or solid?

• 3. What is the mass?

• 4. Can we biopsy the mass?

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lipomas

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Giant cell tumour

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Sebaceous cyst

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.

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Lymph node

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Allergic reaction

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FNAC thyroid nodule

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Intramuscular hematoma

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MOST COMMON LUMPS

LIPOMAS

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EXTENDED FIELD OF VIEW LIPOMA ECHOGENIC MASS WITH RETICULAR PATTERN AND CAPSULE

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  fnac is indicated With irregularly-shaped or large lipomas (greater than 5 cm in diameter).

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CERVICAL LYMPHADENOPATHY

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NORMAL SIZED L NODES

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Cellulitis:dilated hypoechoic channels s/odilated lym.

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H/o blunt injury causing hard lump at site of injury .usg to rule out muscle injury.

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.in this case changes confined to fat layer.usg helps to rule out muscle hematoma or abscess which will change the mngmnt

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SOLID NODULE PALPABLE OVER PAROTID REGION

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BIOPSY WAS DONE PLEOMORPHIC ADENOMA

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OLD LADY WITH H/O LUMP OVER LT GLUTEAL REGION,

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ON USG A COLLECTION/ABCESS WAS SEEN CONFINED TO SUBCUTANEOUS SPACE AND NO TRACKING

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palpable Lump in rt axilla on usg appeared suspicious for malignancy

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On fnac duct carcinoma was diagnosed

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left submandibular gland calculus

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Patient presented with swelling and pain over submandibular region

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Superficial thrombophlebitis is inflammation of a vein just under the skin, usually in the leg. condition usually settles and goes within 2-6 weeks. However, in a small number of cases, complications can occur with superficial thrombophlebitis including extension of the blood clot further up the vein.

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Superficial thrombophleb-itis

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Tenosynovitis

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VASCULAR MALFORMATIONS

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PLANTAR FIBROMA

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Welcome bumps

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THANK YOU