Dorsal Wall Ultrasound
Technique:
Real-time ultrasound examination of the dorsal wall was performed using a
high-frequency linear transducer (7–12 MHz).
Detailed evaluation of the posterior thoraco-lumbar soft tissues
was carried out in longitudinal and transverse planes.
Gray-scale and Doppler assessment were performed.
Clinical indication:
Back swelling / Palpable soft tissue mass / Pain / Suspicion of neoplastic lesion.
Skin & Subcutaneous Tissue: Overlying skin appears maintained. Subcutaneous tissue demonstrates a large heterogeneous soft tissue lesion in the dorsal wall region.
Soft Tissue Mass: Large deep-seated heterogeneous soft tissue mass is noted showing mixed echogenicity with irregular hyperechoic (fatty) and hypoechoic solid components. Margins appear ill-defined / lobulated. Internal Characteristics: Areas of internal necrosis and cystic degeneration are noted within the lesion. No definite calcification is identified on sonographic evaluation. Vascularity: Increased internal vascularity is demonstrated on color Doppler examination. Adjacent Structures: Possible infiltration into adjacent soft tissue and muscle planes is noted. Further cross-sectional imaging correlation is advised.
Impression: Features are suspicious for liposarcoma involving the dorsal wall soft tissues. Large heterogeneous deep-seated lesion with mixed fatty and solid components, internal vascularity, and possible adjacent infiltration is noted.
Recommendation: Correlation with MRI and histopathological evaluation is strongly recommended for further characterization and staging.
Kindly Note:
• Kindly report any typographical errors and submit for correction within 7 days.
Limitations / Technical Factors:
Ultrasound evaluation has limited capability in assessing the full extent
of deep soft tissue tumors and osseous involvement.
MRI / CT correlation may be required for complete lesion characterization
and surgical planning.
• This report is not valid for medico-legal purposes.
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