MRI Findings of Subcutaneous Epidermal Cysts: Emphasis on the Presence of Rupture
Sung Hwan Hong1,
Hye Won Chung2,
Ja-Young Choi1,
Young Hwan Koh1,
Jung-Ah Choi1 and
Heung Sik Kang1
1 Department of Radiology, Seoul National University College of Medicine and
Institute of Radiation Medicine, 28 Yeongon-dong, Chongno-gu, Seoul, South
Korea.
2 Department of Radiology, Samsung Medical Center, Sungkyunkwan University
College of Medicine, 50 Ilwon-dong, Kangnam-gu, Seoul, South Korea.

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Fig. 1A Unruptured epidermal cyst in subcutaneous layer of left palm in
45-year-old man. Axial T1-weighted image (TR/TE, 600/15) shows well-defined
mass (arrow) of slightly high signal intensity.
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Fig. 1B Unruptured epidermal cyst in subcutaneous layer of left palm in
45-year-old man. Axial T2-weighted image (3,500/98) shows hyperintense mass
(arrow).
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Fig. 1C Unruptured epidermal cyst in subcutaneous layer of left palm in
45-year-old man. Gadolinium-enhanced fat-suppressed T1-weighted image (600/12)
shows mass (arrow) with central nonenhancement and peripheral thin
rim enhancement.
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Fig. 2A Unruptured epidermal cyst in back in 26-year-old man. Axial
T1-weighted image (TR/TE, 638/14) shows round subcutaneous mass
(arrow) of slightly high signal intensity. High-signal foci are shown
within mass.
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Fig. 2B Unruptured epidermal cyst in back in 26-year-old man. Axial
T2-weighted image (3,000/102) shows bright mass (arrow) with nodular
low-signal components.
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Fig. 3A 26-year-old man with unruptured epidermal cyst in anterior knee.
Sagittal T1-weighted image (TR/TE, 500/12) shows ovoid subcutaneous mass
(arrow) of slightly high signal intensity.
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Fig. 3B 26-year-old man with unruptured epidermal cyst in anterior knee.
Sagittal T2-weighted image (3,500/105) shows mixed serpentine signal intensity
within mass (arrow).
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Fig. 4A Ruptured epidermal cyst in right greater toe in 16-year-old girl
with recent pain. Axial T1-weighted image (TR/TE, 311/20) shows lobulating
subcutaneous mass (arrow) of low signal intensity.
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Fig. 4B Ruptured epidermal cyst in right greater toe in 16-year-old girl
with recent pain. Axial T2-weighted image (1,600/100) shows hyperintense mass
with thick septum (arrow).
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Fig. 4C Ruptured epidermal cyst in right greater toe in 16-year-old girl
with recent pain. Gadolinium-enhanced fat-suppressed T1-weighted image
(578/20) shows mass with thick irregular peripheral rim enhancement and septal
enhancement (thick arrow). Fuzzy soft-tissue enhancement (thin
arrow) is also shown around mass.
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Fig. 5A 19-year-old man with painful ruptured epidermal cyst in left
posterior shoulder. Axial T1-weighted image (TR/TE, 550/12) shows lobulating
subcutaneous mass (arrow) of low signal intensity.
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Fig. 5B 19-year-old man with painful ruptured epidermal cyst in left
posterior shoulder. Axial T2-weighted image (3,616/108) shows mass
(arrow) with central high signal and peripheral low signal
intensity.
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Fig. 5C 19-year-old man with painful ruptured epidermal cyst in left
posterior shoulder. Gadolinium-enhanced fat-suppressed T1-weighted image
(516/12) shows mass with very thick and irregular peripheral enhancement
(thick arrow). Subtle soft-tissue enhancement (thin arrow)
is present near mass.
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Copyright © 2006 by the American Roentgen Ray Society.