Solitary subcutaneous sarcoidosis with massive chronic prepatellar bursal involvement

Skeletal Radiol. 2016 Dec;45(12):1741-1745. doi: 10.1007/s00256-016-2494-4. Epub 2016 Oct 6.

Abstract

A 56-year-old man presented with a painless prepatellar mass of the left knee. MR images demonstrated a large, well-defined mass with heterogeneous intermediate signal intensity on T1- and proton density-weighted images. Mild, heterogeneous enhancement was noted after the intravenous administration of gadolinium. Diagnostic imaging included atypical soft-tissue infection, fibrogranulomatous reaction, gouty tophus, rheumatoid nodule and xanthoma or possibly malignancy. The histopathological examination revealed sarcoidosis involving the prepatellar bursa.

Keywords: Knee; Prepatellar bursitis; Sarcoidosis.

Publication types

  • Case Reports

MeSH terms

  • Bursa, Synovial / diagnostic imaging*
  • Bursa, Synovial / pathology
  • Connective Tissue Diseases / diagnostic imaging*
  • Humans
  • Knee / diagnostic imaging*
  • Knee / pathology
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Sarcoidosis / diagnostic imaging*