FAT NECROSIS

FAT NECROSIS

 

A 40-year-old man was referred by general physician for USG local part (right lumbar region) I/V/O mild local swelling and intermittent pain. There was a history of local trauma over right lumbar region 6 months back.

Findings and discussion:

On B mode USG:

There is increased echogenicity of the subcutaneous fat is noted due to the edema of the fatty tissue s/o inflamed fat.

Multiple anechoic small cystic lesions noted with adjacent edematous fat s/o oil cysts.

Underlying muscles and bone appear unremarkable.

On color Doppler:

Mildly increased vascularity is noted within the inflamed echogenic fat.

 

Key points:

1)    H/o trauma

2)    Inflamed/ echogenic subcutaneous fat

3)    Oil cysts.

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