Dorsal Wall Ultrasound
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Systematic evaluation of the posterior cervical and upper thoracic region was carried out
in longitudinal and transverse planes.
Skin, subcutaneous tissue, muscle layers, and underlying soft tissue structures
were assessed.
Clinical indication:
Suspected soft tissue lesion
Skin & Subcutaneous Tissue:
Skin thickness appears normal.
Subcutaneous tissue shows normal echotexture with no edema or collection.
 |
| Normal Levator Scapulae Muscle |
The lesion demonstrates homogeneous fatty echotexture with fine linear echogenic striations, aligned parallel to muscle fibers. No adjacent muscle infiltration or architectural distortion is seen.
Fascial Planes: Fascial layers are intact with no evidence of fluid tracking or disruption. Soft Tissue: No additional focal soft tissue mass, cystic lesion, or abscess is seen. Vascularity: No internal vascularity is noted within the lesion on Doppler evaluation.
Impression:
Well-defined intramuscular hyperechoic lesion within the levator scapulae muscle,
demonstrating characteristic sonographic features of a lipoma.
Features are suggestive of intramuscular (levator scapulae muscle) lipoma.
Recommendation: Clinical correlation is advised. MRI may be considered for further evaluation if required. Follow-up is recommended if symptomatic or showing interval increase in size.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation is limited for deep-seated lesions and bony structures.
Clinical correlation and further imaging (MRI / CT) may be required
depending on clinical suspicion.
• This report is not valid for medico-legal purposes.
End of Case Study
You have reached the end of this Levator Scapulae Muscle Lipoma – Back Lump (Dorsal Wall Ultrasound Case Study).
This evaluation was performed using Ultrasonography (USG), allowing real-time assessment of superficial and deep musculoskeletal soft tissue structures.
Content is intended for educational, training, and clinical reference only.
Declaration:
I, R. K. Mouj, declare that the material presented in this case study titled
“Levator Scapulae Muscle Lipoma – Dorsal Wall (Back Lump) on Ultrasonography (USG)”
has been prepared solely for educational and academic purposes.
The findings demonstrate a well-defined, hyperechoic lesion located within the
intramuscular plane of the levator scapulae muscle, typically extending from the
upper cervical region to the superior angle of the scapula, deep to the trapezius muscle,
consistent with an intramuscular lipoma.
The lesion shows homogeneous fatty echotexture with fine internal linear striations,
oriented parallel to muscle fibers, with absence of internal vascularity on Doppler imaging.
No surrounding soft tissue infiltration or aggressive features are identified.
Ultrasonography is a reliable, non-invasive modality for evaluating both superficial and deep soft tissue masses,
aiding in differentiation of benign lesions such as lipoma from other pathological conditions.
These findings are intended for educational and demonstration purposes only.
Definitive diagnosis and management require clinical correlation and appropriate medical consultation.
Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Sonography & Musculoskeletal Imaging
Modality: Ultrasonography (USG)
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology
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