Lumps and
Bumps
DR ANUPAM .A .DUDANI
DMRE DNB
Consultant Radiologist 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.
• USG is a cost-effective and dynamic way to interrogate superficial
lumps and bumps.
COMMON PATHOLOGIES
•
• Lipoma
• Sebaceous Cyst
• Haematoma
• Granuloma
• Neuroma
• Lymph Node
NOT SO
COMMON
CAUSES
Muscle Herniation
Abdominal Wall Fibromatosis
Cyst
Cellulitis
Foreign Body
Fat Necrosis
Sarcoma
Hernia
Superficial Thrombophlebitis
• 1. Is there a mass or not?
• 2. Is it cystic or solid?
• 3. What is the mass?
• 4. Can we biopsy the mass?
ROLE OF
ULTRASOUND
lipomas
Giant cell
tumour
Sebaceous cyst
.
Lymph node
Allergic
reaction
FNAC thyroid
nodule
Intramuscular
hematoma
MOST COMMON LUMPS
LIPOMAS
EXTENDED FIELD OF
VIEW LIPOMA
ECHOGENIC MASS WITH
RETICULAR PATTERN AND
CAPSULE
fnac is indicated With
irregularly-shaped or large
lipomas (greater than 5 cm in
diameter).
CERVICAL
LYMPHADENO
PATHY
NORMAL SIZED L NODES
Cellulitis:
dilated
hypoechoic
channels s/o
dilated lym.
blunt injury causing
hard lump at site of injury
.usg to rule out muscle
injury.
H/o
.in this case changes
confined to fat layer.usg
helps to rule out muscle
hematoma or abscess
which will change the
mngmnt
SOLID NODULE PALPABLE
OVER PAROTID REGION
BIOPSY WAS DONE
PLEOMORPHIC ADENOMA
OLD LADY WITH H/O
LUMP OVER LT GLUTEAL
REGION,
ON USG A
COLLECTION/ABCESS WAS
SEEN CONFINED TO
SUBCUTANEOUS SPACE
AND NO TRACKING
palpable Lump in rt axilla
on usg appeared suspicious
for malignancy
On fnac duct carcinoma
was diagnosed
left submandibular gland
calculus
Patient presented with
swelling and pain over
submandibular region
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.
Superficial
thrombophleb
-itis
Tenosynovitis
VASCULAR
MALFORMATIONS
PLANTAR FIBROMA
Welcome
bumps
THANK YOU