46-year-old female with bilateral breast with pain involving left fifth finger. Check for mass Exam limited without contrast, patient declined.LIGAMENTS: Visualized ligaments appear intact and throughout. TRIANGULAR FIBROCARTILAGE COMPLEX: No significant abnormality noted.TENDONS: Visualized tendons appear intact. Specifically the fifth flexor complex is only minimally displaced radially by the small loculated subcentimeter nodule just distal to the MCP. This mildly multilocular nodule measures 8 x 6 mm axially (image 12 series 11) and 12 mm craniocaudally (image 5 series 9). Margins remain discrete and sharp but inseparable from the tendon sheath along the ulnar margin. Internal signal is uniform and without discrete fluid fluid or internal contents observed. Bright T2 and mid to mildly decreased signal characteristics relative to muscle on T1 imaging. Comment about enhancement is not possible for reasons described.BONES: No significant abnormality noted. Specifically no adjacent osseous abnormalities or associated periosteal reactionADDITIONAL
Moderately limited exam yet appearance is most suggestive of a juxta-articular ganglion cyst, specifically not additional findings or secondary findings to support a soft tissue malignancy or PVNS