Case report demonstrates characteristic MRI features of elastofibroma dorsi in elderly individuals, highlighting radiological recognition to avoid unnecessary radical surgery.
SUMMARY Elastofibroma dorsi is a pseudotumoral mass of unknown pathogenesis that is usually seen in elderly patients. We report two cases of histologically proven elastofibroma dorsi, each presenting with painful periscapular masses. Magnetic resonance imaging showed periscapular tumoral mass with low to intermediate signal intensity with interspersed areas of high signal intensity on both T1 and T2 weighted images. After I.V. administration of gadopentate dimeglumine, these lesions demonstrated mild enhancement. Awareness of the characteristic location and radiologic appearance of this benign lesion prevents unnecessary radical interventions.
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Karagülle et al. (2007) studied this question.
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