Angioleiomyoma Back Lump (Dorsal Wall Ultrasound)

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Angioleiomyoma – Back Lump (Dorsal Wall Ultrasound)
Dorsal wll Ultrasound Case Study Case Study No: R-32

Dorsal Wall Ultrasound


Technique: Real-time ultrasound examination of the dorsal wall was performed using a high-frequency linear transducer (7–12 MHz). Detailed grayscale and Doppler assessment of the superficial soft tissues was carried out in longitudinal and transverse planes.
Clinical indication: Painful dorsal wall swelling / Palpable soft tissue lesion / Vascular soft tissue mass evaluation.


Location: A focal soft tissue lesion is noted along the right lateral dorsal wall within the subcutaneous plane adjacent to vascular structures.

Soft Tissue Lesion: A well-defined hypoechoic solid lesion is identified measuring approximately 2.4 × 1.3 cm. The lesion appears homogeneous with smooth and well-circumscribed margins. Echotexture: Internal echotexture appears uniform without cystic degeneration, calcification, or necrotic component. Vascularity: Prominent internal vascularity is demonstrated on Doppler imaging, suggestive of vascular smooth muscle origin. Adjacent Structures: No surrounding edema, fascial disruption, or infiltration into adjacent soft tissues is identified.


Impression: Features are suggestive of angioleiomyoma in the dorsal wall.

Recommendation: Clinical correlation is advised. Surgical excision may be considered, especially if painful. Histopathological confirmation is recommended.


Kindly Note:

Limitations / Technical Factors:
Ultrasound evaluation may have limitations in complete tissue characterization and assessment of microscopic extension.
Further imaging or histopathological evaluation may be required depending on clinical suspicion.
• This report is not valid for medico-legal purposes.

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