Lump and Bumps Ultrasound Evaluation
Lump and Bumps Ultrasound Evaluation
Lorelei Waring
Why US?
? Excellent first test for accessible lesions ? Good access, short waits ? Dynamic assessment with patient present- allows
history to be taken- imperative.
Why scan?
3 categories-useful triage: ? benign lesion- no further action required. ? equivocal lesion-further referral/further
imaging necessary ? suspicious lesion- urgent referral/further
imaging necessary
US Characterisation
? Skin ? Subcutaneous Fat ? Neurovascular structures ? Muscle ? Tendon ? Bone ? Lymph nodes
US Characterisation
? Location - e.g ganglia, plantar fibromatosis, muscle hernia.
? Size ? Margins ? Invasion ? Echopattern ? Vascularity ? Mobility ? Calcification ? Compressibility ? History
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