FINAL DIAGNOSE CASE-11

      Radiology Case -11(FB and INSTA )Post

RADIOLOGY REPORT

Final diagnose - Ganglion Cyst

Patient Name:........
Age/Gender:  50 Y/F
Study: CT Wrist with F. A. (Plain)

CLINICAL HISTORY:


Patient presents with a painless, gradually enlarging swelling over the right wrist. Clinical suspicion of cystic lesion.

TECHNIQUE:

Non-contrast CT scan of the right wrist was performed in axial, sagittal, and coronal planes.

FINDINGS:-


  • A well-defined, hypodense lesion  is seen along the dorsal aspect of the right wrist, superficial to the extensor tendons.
  • The lesion is homogenous, non-enhancing, and shows fluid attenuation (~20-30 HU).
  • No calcification or internal septations noted.
  • No bony erosions, periosteal reaction, or adjacent soft tissue infiltration.
  • Surrounding fat planes are preserved.
  • The underlying carpal bones and distal radius/ulna appear normal.
  • No evidence of joint effusion or intra-articular extension.

IMPRESSION:

Findings are suggestive of a ganglion cyst arising from the dorsal aspect of the right wrist. Features are typical for a benign, mucin-filled cystic lesion originating from the joint capsule or tendon sheath.

Differential diagnosis:

  • Synovial cyst (less likely)
  • Giant cell tumor of tendon sheath (less likely due to absence of solid components)

RECOMMENDATIONS:

  • Ultrasound evaluation may further characterize cystic nature and guide aspiration if required.
  • MRI may be considered if symptomatic or for surgical planning.
  • Clinical correlation and orthopedic or surgical consultation advised for management.
                                   *******

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