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Updated on May 19, 2025

Lower Leg Soft Tissue Lesion with Concerning Ultrasound Features

Clinical History

A 72-year old mass presented with pain and swelling to the left calf. An initial Doppler ultrasound was requested to assess for DVT.

Case Description

Ultrasound ruled out DVT. However, during the examination, the sonographer could palpate a lump below the patient’s calf. This corresponded to a 3 cm oval-shaped well-defined heterogeneous vascular lesion in the deep subcutaneous compartment. Further evaluation with MRI was recommended.

Diagnosis/ Discussion/ Treatment/ Follow up

The patient declined having an MRI or any other studies in relation to this.

Sonograms

B-mode sonogram (ultrasound) of an oval-shaped mass in the deep subcutaneous layer of the right lower leg
B-mode sonogram of an oval-shaped mass in the deep subcutaneous layer of the right lower leg
Colour Doppler imaging of the oval-shaped deep subcutaneous mass showing a significant amount of internal vascularity
Colour Doppler imaging of the oval-shaped deep subcutaneous mass showing a significant amount of internal vascularity
B-mode virtual convex view of the deep subcutaneous mass showing some compression effect on the adjacent muscle fibres
B-mode virtual convex view of the deep subcutaneous mass showing some compression effect on the adjacent muscle fibres
B-mode sonogram of the mass with measurement callipers
B-mode sonogram of the mass with measurement callipers
Power Doppler imaging of the mass again showing a significant amount of vascularity within the mass
Power Doppler imaging of the mass again showing a significant amount of vascularity within the mass

Published on: October 8, 2024

Author

Sonohive

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Lower Leg Soft Tissue Lesion with Concerning Ultrasound Features

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