Dorsal Wall Ultrasound
Technique:
Real-time ultrasound examination of the dorsal wall / involved peripheral nerve
was performed using a high-frequency linear transducer (7–12 MHz).
Detailed evaluation of the soft tissue and visualized nerve structures
was carried out in longitudinal and transverse planes.
Gray-scale and Doppler assessment were performed.
Clinical indication:
Soft tissue swelling / Suspected nerve lesion / Tingling sensation /
Pain / Numbness / Palpable mass.
Soft Tissue / Nerve: Enlarged peripheral nerve is noted showing hypoechoic nerve fascicles separated by abundant echogenic fibrofatty tissue, producing characteristic “cable-like / coaxial cable” appearance on longitudinal and transverse scans. Common involvement of the median nerve is noted. Echotexture: Internal architecture demonstrates fibrofatty infiltration with preserved fascicular pattern. No cystic degeneration or calcification is seen. Compressibility: Lesion appears non-compressible on probe pressure examination. Vascularity: No significant internal vascularity is noted on Doppler evaluation. Adjacent Structures: No invasion into adjacent muscle planes, vessels, or surrounding soft tissues is identified.
Impression: Findings are consistent with fibrolipomatous hamartoma of nerv. Characteristic enlarged nerve with fibrofatty infiltration and “coaxial cable” appearance is noted
Recommendation: Clinical correlation is advised. MRI may be considered for further characterization and extent evaluation, if clinically indicated.
Kindly Note:
• Kindly report any typographical errors and submit for correction within 7 days.
Limitations / Technical Factors:
Ultrasound evaluation may be limited for deep-seated nerve lesions
and adjacent osseous structures.
Clinical correlation and MRI may be required for complete assessment
depending on clinical suspicion.
• This report is not valid for medico-legal purposes.
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