Clinical and imaging findings in 7 patients with nodular fasciitis in the head and neck
Patient No./Age/Sex | Chief Complaint | Physical Examination | Trauma History | CT Scan | MR Image | Location | Size* (cm) | Shape | Content | Signal Intensity on MR Imaging | Enhancement Pattern | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
T1WI | T2WI | |||||||||||
1/48 y/F | Recurrent preauricular mass for 3 mo | Rubbery hard, nontender, movable | Yes | Yes | No | Periparotid subcutaneous tissue | 1.0 | Round, ill defined | Solid | — | — | Mild heterogeneous enhancement |
2/18 y/F | Rapidly growing cheek mass for 3 mo | Rubbery hard, nontender, movable | No | Yes | No | Lateral malar area beneath zygomaticus major muscle | 1.8 | Ovoid, well defined | Solid | — | — | Marked heterogeneous enhancement |
3/14 mo/M | Perinasal mass for 1 mo with no significant growth | Rubbery hard, nontender, movable | No | Yes | Yes | Perinasal area beneath levator labii superioris muscle | 2.0 | Round, well defined | Completely cystic | Cystic portion slightly hyperintense | Hyperintense | Peripheral rim enhancement |
4/35 y/M | Cheek mass for 1 mo with no significant growth | Rubbery hard, nontender, movable | No | No | Yes | Lateral malar area beneath zygomaticus major muscle | 1.5 | Ovoid, well defined | Solid | Isointense | Hyperintense | Moderate homogeneous enhancement |
5/11 y/F | Rapidly growing supraclavicular mass for 3 mo | Rubbery hard, nontender, movable | No | Yes | Yes | Subcutaneous tissue of supraclavicular fossa | 3.5 | Ovoid, well defined | Solid | Isointense | Hyperintense | Marked homogeneous enhancement |
6/22 y/F | Rapidly growing scalp mass for 1 mo | Rubbery hard, tender, movable | No | Yes | No | Subcutaneous tissue of occipital scalp | 1.3 | Oblong, well defined | Solid | — | — | Marked homogeneous enhancement |
7/16 mo/M | Rapidly growing periorbital mass for 2 mo | Rubbery hard, nontender, fixed | Yes | Yes | Yes | Periorbital area deep to temporalis muscle | 4.6 | Ovoid, ill defined | Partly cystic | Solid portion isointense, cystic portion slightly hyperintense | Isointense | Peripheral nodular enhancement |
* Size in greatest diameter.