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 posterior soft tissue structures
was carried out in longitudinal and transverse planes.
Clinical indication:
Progressive dorsal wall swelling / Pain / Suspicion of aggressive soft tissue neoplasm.
Location: Large soft tissue lesion is noted along the right lateral dorsal wall, involving the deep soft tissue and intermuscular plane.
Soft Tissue Mass: An ill-defined heterogeneous predominantly hypoechoic mass is identified measuring approximately 7.2 × 4.5 cm. The lesion demonstrates irregular infiltrative margins with extension into adjacent soft tissue structures. Internal Characteristics: Areas of internal necrosis are noted within the lesion. Marked heterogeneity of internal echotexture is present. Vascularity: Moderate to marked internal vascularity is demonstrated on Doppler imaging. Adjacent Structures: Infiltration into adjacent soft tissue and intermuscular planes is noted. No definite calcification is identified on current sonographic evaluation.
Impression: Features are suspicious for leiomyosarcoma involving the dorsal wall soft tissues.
Recommendation: Urgent MRI is recommended for staging and assessment of local extent. Histopathological confirmation is essential. Oncological referral is advised.
Kindly Note:
Limitations / Technical Factors:
Ultrasound evaluation has limited capability in assessing the complete extent
of deep soft tissue tumors and adjacent osseous involvement.
MRI correlation is recommended for comprehensive staging
and treatment planning.
• This report is not valid for medico-legal purposes.
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