Giant palmar lipoma

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Gradual swelling of the left-hand palmar region with restriction of movements.

Patient Data

Age: 55 years
Gender: Female
mri

There is a 20 x 30 x 75 mm large palmar region thin-walled septated hyperintense (T1/T2) lesion on all sequences with uniform suppression on the fat-saturated images consistent with lipoma.

It elicits mass effect upon flexor digitorum superficialis and profundus tendons and extends into the deep palmar space, between the tendons.

Case Discussion

MRI features are consistent with a giant lipoma of the palmar region.

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