Authors:
N. Chidambaranathan1, R. Vadapalli2; 1Chennai/IN, 2Hyderabad/IN
DOI:
10.1594/essr2017/P-0212
Conclusion
The importance of clinical history cannot be overstated,
in the evaluation of these pseudo-tumoural lesions of the hand, as most of these lesions may have an ‘inciting’ or ‘precipitating factor’.
A dedicated high resolution imaging protocol ,
tailored made imaging techniques,
according to the clinical scenario should be implemented .
Dynamic contrast imaging should be done wherever necessary,
especially in cases of traumatic injuries and in other cases of suspected vascular involvement without which major findings would be missed.
In this exhibit,
inflammatory –non infective lesions formed the majority of the cases.
As a very familiar anecdote says,
‘the eyes donot see,
what the mind doesnot know’-a proper knowledge of the possibilities,
pathogenesis and the specific imaging feature of the pseudotumoural lesions,
could help the radiologist to pinpoint the diagnosis for this varied spectrum of lesions which are clinically baffling. Early and accurate diagnosis of a tumour mimicker will avert unwarranted surgical interventions and help the clinicians,
in therapeutic decision making.