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Current Medical Imaging

Author(s): Semra Duran*, Cem Cuneyt Kose and Servet Guresci

DOI: 10.2174/1573405620666230808161059

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An Extra-articular Ganglion Cyst with Multiple Fluid-fluid Levels

Article ID: e080823219538 Pages: 3

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Abstract

Introduction: Ganglion cysts are the knee’s most common benign soft tissue tumors. Ganglion cysts are seen as multiloculated fluid collections on magnetic resonance imaging (MRI), and fluid-fluid levels are not an expected finding.

Case Presentation: A 36-year-old female patient presented with swelling in her right knee. Magnetic resonance imaging revealed a multiseptated cyst with multiple fluid-fluid levels within the anterior of the right patellar tendon. Open surgical excision was performed, and the pedicle of the cyst was dissected. The histopathology revealed a ganglion cyst with hemorrhage.

Conclusion: The ganglion cysts should be considered in the differential diagnosis of lesions with fluid-fluid levels, in addition to hemangioma, synovial sarcoma, and aneurysmal bone cysts of soft tissues.

Keywords: Ganglion cyst, Extra-articular, Fluid-fluid level, Magnetic resonance imaging, Ganglia, Multiloculated fluid.

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