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Plantar Fibromatosis (Ledderhose Disease)

Storm ESS - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Plantar Fibromatosis (Ledderhose Disease)

History: Enlarging mass on medial plantar aspect of his foot, becomming increasingly sypmpomatic over last 2 weeks.

Findings: 2cm x 3cm well-circumscribed fusiform mass arising from the plantar fascia on the medial aspect of the foot proximal to the 1st MTP. Lesion is homogenously iso-intense to muscle on T1 sequences, and hetrogenslightly hyperintense on fat-saturated T2 sequences. Marked, homogeneous enhancement following administration of gadolinium DTPA. No surrounding soft tissue or bone marrow edema.

Ddx: Plantar Fibromatosis Nodular (Pesudosarcomatous)Fasciitis Aggressive Fibromatosis

Dxhow: Diagnosis is presumed based on classic findings and location.

Exam: Palpable, mildly tender subcutaneous mass on the plantar aspect of the foot, at the base of the first MTP joint. Mild overlying erythema. Otherwise healthy male. No recallable history of antecedent trauma.

No MeSH data available.


Axial T1, Fat-saturated post-gad T1 and T2. Soft tissue mass arising from the medial plantar fascia. Mild, heterogeneous increased T2 signal relative to muscle, isointense to muscle on T1WI and strong enhancement.
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MPX2041_synpic21984: Axial T1, Fat-saturated post-gad T1 and T2. Soft tissue mass arising from the medial plantar fascia. Mild, heterogeneous increased T2 signal relative to muscle, isointense to muscle on T1WI and strong enhancement.


Plantar Fibromatosis (Ledderhose Disease)

Storm ESS - MedPix

Axial T1, Fat-saturated post-gad T1 and T2. Soft tissue mass arising from the medial plantar fascia. Mild, heterogeneous increased T2 signal relative to muscle, isointense to muscle on T1WI and strong enhancement.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2041&req=5

MPX2041_synpic21984: Axial T1, Fat-saturated post-gad T1 and T2. Soft tissue mass arising from the medial plantar fascia. Mild, heterogeneous increased T2 signal relative to muscle, isointense to muscle on T1WI and strong enhancement.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Plantar Fibromatosis (Ledderhose Disease)

History: Enlarging mass on medial plantar aspect of his foot, becomming increasingly sypmpomatic over last 2 weeks.

Findings: 2cm x 3cm well-circumscribed fusiform mass arising from the plantar fascia on the medial aspect of the foot proximal to the 1st MTP. Lesion is homogenously iso-intense to muscle on T1 sequences, and hetrogenslightly hyperintense on fat-saturated T2 sequences. Marked, homogeneous enhancement following administration of gadolinium DTPA. No surrounding soft tissue or bone marrow edema.

Ddx: Plantar Fibromatosis Nodular (Pesudosarcomatous)Fasciitis Aggressive Fibromatosis

Dxhow: Diagnosis is presumed based on classic findings and location.

Exam: Palpable, mildly tender subcutaneous mass on the plantar aspect of the foot, at the base of the first MTP joint. Mild overlying erythema. Otherwise healthy male. No recallable history of antecedent trauma.

No MeSH data available.