52 year old male patient with a tumor of right palm. There is a round, well-circumscribed mass along the volar surface of the hand at the level of the second and third metacarpal diaphyses. The mass measures 2.7 x 1.6 x 2.4 cm (transverse x AP x craniocaudal) and displaces the flexor tendons of the second and third digit dorsally. It is isointense to muscle on T1, somewhat heterogeneous high intensity on T2 weighted images, and demonstrates minimal, if any, peripheral enhancement.
Palmar mass which likely represents an unusual ganglion with debris. A soft tissue sarcoma would be unlikely due to the lack of significant enhancement on post-contrast imaging. 