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Ask the Fish Forum => Case Studies => Topic started by: salamisamuel on May 01, 2019, 04:06:12 pm

Title: Analyzing subcutaneous adipose tissue abnormalities.
Post by: salamisamuel on May 01, 2019, 04:06:12 pm
Afternoon,

Trying to wrap my head around what can be felt and what can be seen on a contrast CT. A physical examination ruled out lipoma and gynecomastia as there is male breast involvement. At first blush nothing was found beneath the areola that was palpable. Palpable lumps extending from right axilla into right trunk, right breast, right pectoral.

Palpable masses are deep, vary in shape and feel appear to be multiplying and some are enlarging. When looking at the CT there are areas that look like lipoma but after a physical examination that was ruled out by the person performing the exam. Non-tender but can hurt the tissue around it when manipulated. Mobility varies.
Spontaneous appearance, 3-5 felt three weeks ago, 10+ two weeks ago, 30+ now. Varying in all sorts of shapes and sizes. There is also diastasis recti in the epigrastric region the patient was completely unaware of that does share some imaging characteristics.

If you're interested or can point in the right direction I can share the imaging privately, thank you.

Title: Re: Analyzing subcutaneous adipose tissue abnormalities.
Post by: Elliot K. Fishman, MD on May 09, 2019, 01:55:10 pm
I would speak to your primary care physician
Title: Re: Analyzing subcutaneous adipose tissue abnormalities.
Post by: salamisamuel on May 10, 2019, 09:25:19 pm
Done and done.

Masses palpable and numerous, only one could be visualized on ultrasound 1.6 x 1.2x 0.5cm well defined echogenic lesion 2 oclock CFN suggestive of lipoma.
Nothing from initial CT scan by radiologist.
Cross correlation mammogram suggested by radiologist, one physician consult recommended open biopsy, one said watchful waiting.

Guess the concern is that it's only "suggestive" of a lipoma and it brought a lot of buddies that aren't able to be visualized as a lipoma with it.

Yeehaw.