Stephen Bird

What muscle do you think it is in Xue?

It looks too superficial to be within the joint itself so I favour a mass outside the joint.

I agree it has characteristics consistent with a haemangioma with some venous lakes contained within it.

I agree this is the most likely diagnosis,

However you are still dealing with an unusual mass within a muscle (or between the muscles) so something sinister like a sarcoma still needs to be excluded.

I always think anything intramuscular that is not a standard post traumatic muscle tear needs cross sectional imaging workup just to be sure we are not missing a sarcoma.

I apply this to intramuscular lipomas was well.

Better be safe than sorry.


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