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Imaging Characteristics of Spindle Cell Lipoma

¹ Department of Radiology, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224-3899.
² Department of Radiologic Pathology, Armed Forces Institute of Pathology, Walter Reed Army Medical Center, Bldg. #54, 6825 16th St., NW, Washington, DC 20306-6000.
³ Department of Radiology, Mayo Clinic, 200 1st St., Rochester, MN 55905.
⁴ Department of Radiology and Nuclear Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd., Bethesda, MD 20814-4799.
⁵ Department of Radiology, University of Maryland School of Medicine, 22 S Greene St., Baltimore, MD 21201-1595.
⁶ Department of Orthopedic Surgery, Mayo Clinic, 4500 San Pablo Rd., Jacksonville, FL 32224-3899.

OBJECTIVE. The objective of this article is to define the imaging characteristics of spindle cell lipoma on MRI and CT.

CONCLUSION. The diagnosis of spindle cell lipoma should be suggested when a well-defined complex fatty mass is found in the subcutis of a middle-aged man, especially if the mass is localized to the posterior neck. Intense enhancement of the nonadipose component further supports this diagnosis.

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