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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