Clinical and imaging findings in 7 patients with nodular fasciitis in the head and neck

Patient No./Age/SexChief ComplaintPhysical ExaminationTrauma HistoryCT ScanMR ImageLocationSize* (cm)ShapeContentSignal Intensity on MR ImagingEnhancement Pattern
T1WIT2WI
1/48 y/FRecurrent preauricular mass for 3 moRubbery hard, nontender, movableYesYesNoPeriparotid subcutaneous tissue1.0Round, ill definedSolidMild heterogeneous enhancement
2/18 y/FRapidly growing cheek mass for 3 moRubbery hard, nontender, movableNoYesNoLateral malar area beneath zygomaticus major muscle1.8Ovoid, well definedSolidMarked heterogeneous enhancement
3/14 mo/MPerinasal mass for 1 mo with no significant growthRubbery hard, nontender, movableNoYesYesPerinasal area beneath levator labii superioris muscle2.0Round, well definedCompletely cysticCystic portion slightly hyperintenseHyperintensePeripheral rim enhancement
4/35 y/MCheek mass for 1 mo with no significant growthRubbery hard, nontender, movableNoNoYesLateral malar area beneath zygomaticus major muscle1.5Ovoid, well definedSolidIsointenseHyperintenseModerate homogeneous enhancement
5/11 y/FRapidly growing supraclavicular mass for 3 moRubbery hard, nontender, movableNoYesYesSubcutaneous tissue of supraclavicular fossa3.5Ovoid, well definedSolidIsointenseHyperintenseMarked homogeneous enhancement
6/22 y/FRapidly growing scalp mass for 1 moRubbery hard, tender, movableNoYesNoSubcutaneous tissue of occipital scalp1.3Oblong, well definedSolidMarked homogeneous enhancement
7/16 mo/MRapidly growing periorbital mass for 2 moRubbery hard, nontender, fixedYesYesYesPeriorbital area deep to temporalis muscle4.6Ovoid, ill definedPartly cysticSolid portion isointense, cystic portion slightly hyperintenseIsointensePeripheral nodular enhancement
  • * Size in greatest diameter.