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The Journal of Musculoskeletal Medicine. Vol. 29 No. 2
MUSCULOSKELETAL Photo Dx
Test your Skills in Diagnosing Rheumatologic and Orthopedic Disorders 

Painless Groin Mass in an Active-Duty Soldier

March 2, 2012

ultrasonogram of iliopsoas bursitis

MRI of iliopsoas bursitis, painless groin mass

A healthy 40-year-old active-duty male soldier presented with a painless groin mass, which he had noted a few weeks earlier. He denied having constitutional symptoms, recent infection, inflammatory joint symptoms, or a history of trauma.

The physical examination was notable for an immobile firm mass in the patient’s right inguinal area. There were no other areas of lymphadenopathy, and the results of a genitourinary examination were normal.

Radiographs of the patient's right hip and pelvis were obtained; the results were unremarkable. An ultrasonogram (top) and an MRI scan (bottom) were obtained. What do they show?

What is your diagnosis?

To learn the nature of this groin mass, click here.

iliopsoas bursitis, ultrasonogram, painless groin mass

 

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by Paxton Daniel | May 24, 2012 4:47 PM EDT

Ganglion iliopsoas tendon sheath

by Sabb Brian | March 08, 2012 1:49 AM EST

Hi,

This is a great case with nice images and a fantastic discussion.

My number one thought after seeing the images was paralabral cyst and labral tear. I would like to see more images, because I still favor this diagnosis over bursitis.

Respectfully,

Brian Sabb
www.linkedin.com/in/briansabb






 
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