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Ganglion Cyst -MRI

46 year old lady with pain 3rd digit with no history of trauma and intact skin. MR shows a well-defined 7 mm sized thin walled smoothly marginated fluid signal intensity lesion in the immediate vicinity of the A1 pulley segment of the flexor tendon with no perilesional soft tissue / marrow abnormality consistent with possibly ganglion.





Teaching points by Dr MGK Murthy, Mr Abdul Hamid:

-        Ganglions are common in relation to the middle finger.
-        More common in women.
-        Middle age is commonest age group to be involved.
-        Mildly tender with no definite history of trauma and restricted flexor movements constitutes the usual presentation.

-        Differentials could include traumatic hematomata / nonspecific etiology cysts.
Ganglion Cyst -MRI Reviewed by Sumer Sethi on Saturday, March 29, 2014 Rating: 5

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