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Chronic expanding hematoma of the thigh simulating neoplasm on gadolinium-enhanced MRI

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Abstract

Patients who present with slowly growing extremity masses are often imaged with MRI to be examined for possible tumors. In addition to cysts and neoplasms, chronic expanding hematomas should be considered in the differential diagnosis if the patient has a history of remote trauma. The presence or absence of internal contrast enhancement is often used to distinguish between hematomas and hemorrhagic neoplasms on MRI and CT. We present the unusual case of a patient who had a chronic expanding hematoma of the calf that demonstrated nodular internal enhancement on gadolinium-enhanced MRI, simulating a neoplasm.

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References

  1. Beiner JM, Jokl P. Muscle contusion injury and myositis ossificans traumatica. Clin Orthop Relat Res 2002;403 Suppl:S110–S119.

    Article  PubMed  Google Scholar 

  2. Vas W, Cockshott WP, Martin RF, Pai MK, Walker I. Myositis ossificans in hemophilia. Skeletal Radiol 1981;7:27–31.

    Article  PubMed  CAS  Google Scholar 

  3. Reid JD, Kommareddi S, Lankerani M, Park MC. Chronic expanding hematomas. A clinicopathologic entity. JAMA 1980;244:2441–2.

    Article  PubMed  CAS  Google Scholar 

  4. Aoki T, Nakata H, Watanabe H, Maeda H, Toyonaga T, Hashimoto H, et al. The radiological findings in chronic expanding hematoma. Skeletal Radiol 1999;28:396–401.

    Article  PubMed  CAS  Google Scholar 

  5. Lewis Jr VL, Johnson PE. Chronic expanding hematoma. Plast Reconstr Surg 1987;79:465–7.

    Article  PubMed  Google Scholar 

  6. Friedlander HL, Bump RG. Chronic expanding hematoma of the calf. A case report. J Bone Joint Surg Am 1968;50:1237–41.

    PubMed  CAS  Google Scholar 

  7. Hanagiri T, Muranaka H, Hashimoto M, Nishio T, Sakai S, Ono M, et al. Chronic expanding hematoma in the chest. Ann Thorac Surg 1997;64:559–61.

    Article  PubMed  CAS  Google Scholar 

  8. Hwang GL, Moffatt SD, Mitchell JD, Leung AN. Chronic expanding hematoma of the thorax. AJR Am J Roentgenol 2003;180:1182–3.

    PubMed  CAS  Google Scholar 

  9. Yamada T, Ishibashi T, Saito H, Sato A, Matsuhashi T, Takahashi S, et al. Case report: chronic expanding hematoma in the adrenal gland with pathologic correlations. J Comput Assist Tomogr 2003;27:354–6.

    Article  PubMed  Google Scholar 

  10. Jaovisidha S, Ryu KN, Hodler J, Schweitzer ME, Sartoris DJ, Resnick D. Hemophilic pseudotumor: spectrum of MR findings. Skeletal Radiol 1997;26:468–74.

    Article  PubMed  CAS  Google Scholar 

  11. Burtscher IM, Owman T, Romner B, Stahlberg F, Holtas S. Aneurysm clip MR artifacts. Titanium versus stainless steel and influence of imaging parameters. Acta Radiol 1998;39:70–6.

    Article  PubMed  CAS  Google Scholar 

  12. Mentzel T, Goodlad JR, Smith MA, Fletcher CD. Ancient hematoma: a unifying concept for a post-traumatic lesion mimicking an aggressive soft tissue neoplasm. Mod Pathol 1997;10:334–40.

    PubMed  CAS  Google Scholar 

  13. Mellado JM, Perez del Palomar L, Diaz L, Ramos A, Sauri A. Long-standing Morel-Lavallee lesions of the trochanteric region and proximal thigh: MRI features in five patients. AJR Am J Roentgenol 2004;182:1289–94.

    PubMed  CAS  Google Scholar 

  14. Akata S, Ohkubo Y, Jinho P, Saito K, Yamagishi T, Yoshimura M, et al. MR features of a case of chronic expanding hematoma. Clin Imaging 2000;24:44–6.

    Article  PubMed  CAS  Google Scholar 

  15. Magee T, Rosenthal H. Skeletal muscle metastases at sites of documented trauma. AJR Am J Roentgenol 2002;178:985–8.

    PubMed  Google Scholar 

  16. Imaizumi S, Morita T, Ogose A, Hotta T, Kobayashi H, Ito T, et al. Soft tissue sarcoma mimicking chronic hematoma: value of magnetic resonance imaging in differential diagnosis. J Orthop Sci 2002;7:33–7.

    Article  PubMed  Google Scholar 

  17. Kransdorf MJ, Meis JM, Jelinek JS. Myositis ossificans: MR appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 1991;157:1243–8.

    Google Scholar 

  18. Holobinko JN, Damron TA, Scerpella PR, Hojnowski L. Calcific myonecrosis: keys to early recognition. Skeletal Radiol 2003;32:35–40.

    Article  PubMed  Google Scholar 

  19. Dhillon M, Davies AM, Benham J, Evans N, Mangham DC, Grimer RJ. Calcific myonecrosis: a report of ten new cases with an emphasis on MR imaging. Eur Radiol 2004;14:1974–9.

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Patrick T. Liu.

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Liu, P.T., Leslie, K.O., Beauchamp, C.P. et al. Chronic expanding hematoma of the thigh simulating neoplasm on gadolinium-enhanced MRI. Skeletal Radiol 35, 254–257 (2006). https://doi.org/10.1007/s00256-005-0042-8

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  • DOI: https://doi.org/10.1007/s00256-005-0042-8

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