The clinically palpable lump is a well-defined lesion (21 x 19 x 15 mm). The median nerve enters and exits the lesion. The lesion displaces a few fascicles of the nerve. The lesion is hypoechoic with few tiny cystic spaces without calcification/ vascularity. There was no median nerve abnormality proximal or distal to the lesion. The brachial artery, distal biceps tendon, brachialis, and pronator teres are normal.