Reason: evaluate nodules on dorsum of L hand History: painful nodules on ulnar dorsum of L hand x 3 months, no trauma Note is made of 2 skin markers overlying the dorsal aspect of hand and wrist. Underlying these markers are 2 prominent superficial veins. There is decreased signal intensity centrally within the aforementioned prominent vessel along the dorsal aspect of the fifth metacarpal which may represent a small central thrombus. Otherwise no masses are identified. The imaged musculature of the wrist and hand is normal in appearance. No bone marrow signal abnormality is identified.
Slightly prominent superficial veins along the dorsum of the hand. There is central low intensity within the prominent superificial vein along the dorsal aspect of the fifth metacarpal which is nonspecific but may represent superficial venous thrombosis. This could be further evaluated with ultrasound examination with Doppler interrogation if clinically warrented. 