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    • #10156
      Diane
      Participant

      Hello!

      I scanned this male for general knee pain and saw an incidental hypoechoic nodule lesion adjacent to the medial aspect of the patellar tendon.
      I thought it was non specific.. The reporting radiologist said ?chronic epidermoid cyst, unlikely to represent mets because it was avascular.

      Any ideas?

      Thanks!

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    • #10190
      Stephen Bird
      Keymaster

      I completely agree with your radiologist,

      At first I thought it was too far removed from the dermis, but late in the video there is a hint of a punctum.

      The other differential I would include would be an area of chronic fat necrosis as this part of the body is commonly traumatised.

      It looks really benign whatever it proves to be.

      Steve

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