54-year-old woman with history of painful nodule in the right lower pannus. PELVIS:UTERUS, ADNEXA: Multiple intramural and subserosal fibroids are noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: There is a 29 x 23 mm stellate area of T2 hypointensity which enhances uniformly (7/32). This lesion appears to restrict diffusion. Punctate foci of signal loss indicate calcification. This area is contained within the superficial subcutaneous soft tissues of the right pannus. No viscera or bowel are involved.OTHER: No significant abnormality noted.
Subcutaneous soft tissue lesion of the right pannus which is nonspecific in appearance but has morphology suspicious for malignant etiologies such as sarcomatous lesions or metastasis. This lesion abuts the skin surface, does not communicate with the viscera or bowel, and would be amenable to tissue sampling.