Dr Arun Gupta Director imaging

Dr Rakhee gupta Dr Vinayak Mittal Dr Ragini Sharma Dr Ritesh Mahajan

ADVANCED USG LOUNGE

GLOMUS TUMOR IN THE DORSUM OF THE FINGER

USG / DOPPLER ASSESSMENT

Glomus tumor a brief…………

Hamartoma composed of the cells derived from the neuromyoarterial apparatus ( regulating blood flow in skin) .

Glomus body ( encapsulated oval organ located in reticular dermis , concentrated in tips of digits and composed of : Afferent arteriole An anastomotic vessel Primary collecting vein Intraglomerular reticulum and

capsule .

1-5 % soft tissue tumors of the hand .

Mostly 4-5th decade .Joint tenderness /

pain( average of 4 to 7 years before diagnosis) . Small hypoechoic tumor by US ( >3mm detectable) .

NORMAL TENDON ( PALMAR ASPECT)

NORMAL IP JOINTS

USG OF THE FINGER

NORMAL DIGITAL ARTERIES

NORMAL DIGITAL VEINS

DIGITAL DOPPLER ASSESSMENT

INTERMEDIATE ECHOPATTERN DEFINED ROUND FOCUS IS APPRECIATED IN THE LATERAL ASPECT OF THE SUBCUTIS PLANE OF THE DORSUM OF THE RING FINGER . EVIDENT COLOR FILL IS APPRECIATED IN THIS FOCAL LESION ON POWER DOPPLER ( CRESCENT OF THE VESSELS IS APPRECIATED ADJACENT TO THIS FOCUS IN TRANSVERSE PLANE ) . CONTRALATERAL NORMAL FINGER IMAGES ARE ALSO ENCLOSED.

TRANSVERSE SCAN PROXIMAL TO LESION

SITE

TRANSVERSE SECTION ALONG DORSUM OF THE SUBCUTIS PLANE OF THE RING FINGER .

DIGITAL DOPPLER ASSESSMENT

IMAGE GALLERY MUSCULOSKELETAL

ULTRASOUND

SKULL FRACTURE IN NEONATE .

CORTICAL SURFACE IRREGULARITY IN ADULT

NORMAL HIP USG .

Infant skull fracture on USG

Cortical surface irregularity on USG .

NORMAL INFANT HIP SCANNING

EPIPHYSIS OF FEMUR

REFERENCE

DIAGNOSTICULTRASOUNDFOURTH EDITIONCarol M. Rumack, MD, FACRJ. William Charboneau, MD, FACRDeborah Levine, MD, FACR