Ganglion Cyst -MRI
46 year old lady with pain 3rd digit with no history of trauma and intact skin. MR shows a well-defined 7 mm sized thin walled smoothly marginated fluid signal intensity lesion in the immediate vicinity of the A1 pulley segment of the flexor tendon with no perilesional soft tissue / marrow abnormality consistent with possibly ganglion.
Teaching points by Dr MGK Murthy, Mr Abdul Hamid:
- Ganglions are common in relation to the middle finger.
- More common in women.
- Middle age is commonest age group to be involved.
- Mildly tender with no definite history of trauma and restricted flexor movements constitutes the usual presentation.
- Differentials could include traumatic hematomata / nonspecific etiology cysts.
Ganglion Cyst -MRI Reviewed by Sumer Sethi on Saturday, March 29, 2014 Rating: