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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.


Figure 1
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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.

 

Figure 2
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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).

 

Figure 3
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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.

 

Figure 4
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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.

 

Figure 5
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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.

 

Figure 6
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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.

 

Figure 7
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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).

 

Figure 8
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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.

 

Figure 9
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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).

 

Figure 10
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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.

 

Figure 11
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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.

 

Figure 12
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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.

 

Figure 13
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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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