OpenHealth Q&A

Get answered by medical professionals

Understanding Ultrasound Findings

8/28/2025, 4:45:25 PM•Male•25-34

Greetings, everyone! I hope this message is appropriate for this community. While I recognize that only a medical professional can provide definitive answers, I'm reaching out in the hopes of gathering some insights. I've detailed the pertinent information below: My partner, a 46-year-old white female, discovered a painless mass on her thigh that has remained unchanged for a few months. She underwent an ultrasound last week, and the findings were as follows: "A significant soft tissue mass is identified in the anterior proximal thigh, measuring approximately 8 to 9 centimeters at its largest point. It is likely intramuscular or intermuscular and may represent a lipomatous lesion. Additional evaluation with MRI is recommended to obtain a clearer understanding of its size, location, and characteristics." An MRI, along with a biopsy, is planned, but we are feeling quite anxious about it. Historically, she has been in excellent health with no previous issues, and her BMI and diet are normal. She is currently taking Vyvanse and Wellbutrin to manage her ADHD and anxiety. I'm reaching out to see if anyone here might be able to review the ultrasound images (provided in the comments) and offer some clarity on whether this is likely a benign lipoma or something more concerning, such as a sarcoma. Thank you for your assistance! 🙏🏻

ArthritisMultiple SclerosisCrohn's Disease

Answers (1)

Cony

8/28/2025, 4:45:44 PM

OpenHealth AI

It’s understandable to feel anxious about your partner's ultrasound findings, especially when it involves a noticeable mass. The preliminary impression of a soft tissue mass in the thigh, which may be a lipoma (a benign tumor made of fat), is not uncommon. However, it's essential to proceed with caution and obtain further evaluation.

Explanation

The ultrasound report indicates:

  • Soft Tissue Mass: The mass is described as significant in size (8 to 9 cm) and is likely located between or within muscle tissues.
  • Potential Lipomatous Lesion: This suggests that it could be a lipoma, which is typically benign. However, the size and location merit additional investigation.
  • MRI Recommendation: An MRI is helpful because it can provide a clearer picture of the mass's structure and surrounding tissues, and help determine if there are any unusual characteristics.

While most soft tissue masses are benign, some can be malignant, such as sarcomas. The MRI will be key in differentiating between benign and potentially concerning masses and will guide further steps, such as a biopsy.

Next Steps

  1. Stay Informed: Prepare for the MRI by writing down any questions or concerns you both may have. Understanding the purpose of the MRI can help alleviate some anxiety.

  2. Manage Stress: With your partner already managing anxiety, consider using relaxation techniques such as deep breathing or mindfulness to help cope in the meantime.

  3. Monitor Symptoms: Watch for any changes like increased size, pain, or discomfort in the mass, and note these before the MRI.

  4. Stay Engaged therapeutically: After the MRI, discuss the results thoroughly with her healthcare provider. This is crucial for understanding the next steps, whatever the results may be.

  5. Communicate Support: Keep open lines of communication with each other about feelings of anxiety or concerns regarding the situation. It’s important for both of you to support each other emotionally.

It's a positive sign that further investigation is planned, and most likely, the findings will lead to better clarity and management. Please try to stay hopeful while waiting for the results. Let me know if you have any more questions or concerns!

Related Questions

Concerns After Gallbladder Surgery (Three Weeks Post-Op) - Is It an Infection?

Profile: - Age: 35 - Gender: Female - Height: 5 feet 4 inches - Weight: 160 pounds - Ethnicity: Asian Duration of Symptoms: Last Three Weeks Location: United States Recent Medical History: Nearly three weeks have passed since my gallbladder removal surgery. Over the last few days, I've noticed a small amount of unclear fluid coming from the incision. I just observed what seems to be pus oozing from the surgical site. Although there is slight tenderness when I move or touch the area, it isn't painful. Thankfully, I haven’t experienced any fever or chills, and there’s no unpleasant odor emanating from the wound. Should I continue to clean it with soap and water, or is it necessary for me to visit the emergency room for further evaluation?

Multiple SclerosisLupusInternal Medicine
Male • 25-34
17 minutes ago

Exploring Inositol and CoQ10 for Managing PCOS Symptoms

As a 28-year-old female, I have faced the challenges of polycystic ovary syndrome (PCOS) since my teenage years. Starting from the age of 16, I have dealt with highly irregular menstrual cycles, occurring anywhere from three to eight months apart. My diagnosis has been substantiated through two ultrasounds and blood tests revealing elevated androgen levels. Despite maintaining a healthy diet and leading an active lifestyle—balancing my work as an environmental biologist with gym sessions alongside my husband—I continue to wrestle with weight management. Other symptoms impacting my daily life include significant hair loss, unwanted facial hair, and persistent fatigue. In my journey to manage PCOS, I previously sought counsel from a gynaecologist, who primarily suggested hormonal birth control as the main approach to alleviate my symptoms. Although I adhered to this recommendation for several years, the hormonal changes negatively impacted my mood, leading me to discontinue its use. Another alternative proposed by my gynaecologist involved androgen blockers, but these are not suitable for me since my husband and I plan to start a family in the next two to three years. Recently, my research led me to discover that supplements like Inositol and CoQ10 might effectively combat insulin resistance and lower androgen levels. They are purported to improve various symptoms associated with PCOS, including the regulation of ovulation, all while boasting minimal adverse effects. I am curious about the viability of these supplements as alternatives to hormonal birth control or androgen blockers in managing my PCOS symptoms.

Crohn's DiseaseThyroid DisordersRheumatology
Male • 25-34
26 minutes ago

Seeking Clarity on My Spinal Tap Results: A Bit Anxious

I am a 31-year-old woman experiencing a continuous headache for the past four months, accompanied by feelings of nausea and exhaustion. I take Lexapro each day to manage my mental health. I have a history of migraines and headaches, but this recent episode doesn't align with my previous experiences. Here are the findings from my spinal tap: - **Opening Pressure of Cerebrospinal Fluid (CSF)**: 9 cm H₂O - **Presence of Red Blood Cells (RBCs) in CSF**: 2,570 - **Total Protein Level in CSF**: 107 mg/dL - **ACE Level in CSF**: 4.4 - **Other Tests on CSF**: Results were normal. - **Brain MRI and MR Venography**: Both tests yielded normal results. - **Blood Test Results**: Normal results were obtained. Given these results, I'm feeling a bit uneasy and I’m hoping to better understand what they might indicate about my health.

Multiple SclerosisCrohn's DiseaseThyroid Disorders
Male • 25-34
26 minutes ago

Navigating Ear Infections While Traveling in Thailand

**Age:** 23 **Height:** 6'3" **Weight:** 88 kg **Medication Taken:** 1000mg Bactoclav - Amoxicillin with Potassium Clavulanate, along with pain relief and antihistamines. **Summary:** I’m hesitant to consult a doctor overseas only to receive a prescription for the same antibiotics available at a local pharmacy for a fraction of the price. What strategies can I employ to effectively manage this persistent ear infection? Am I being too hasty in my expectations? I have a long history of ear infections, often triggered by exposure to water or any activity impacting my ears. I regularly use a specialized oil before showering to prevent water from entering my ears. While backpacking in Thailand, I've developed a particularly severe ear infection over the last several days. Initially, a course of 500mg amoxicillin seemed effective, but significantly, just yesterday my condition took a downturn, shifting from nearly healed to painfully inflamed. Now, my ear is not only swollen but also incredibly sore. In an attempt to combat this, I’ve been taking 1000mg Bactoclav - Amoxicillin and Potassium Clavulanate, having consumed seven tablets in the last two days; unfortunately, there's been no noticeable improvement. I’m reluctant to seek medical attention, fearing I would be prescribed the same medication I could acquire from a pharmacy, albeit at a much higher cost. Yet, I’m also starting to question the efficacy of the pharmacy’s medication. I’ve only recently begun the stronger treatment since my symptoms returned. Any advice would be greatly valued! In addition, I’d like to share that just a week into my four-month journey, I feel as though my ongoing ear issues are gradually dominating my life. I am incredibly grateful for this travel opportunity, and while my health isn’t at risk in a serious way, these ear complications are becoming quite overwhelming. Could there be surgical options available? Might there be an underlying health concern that I’m unaware of? It doesn’t seem normal to be plagued by constant ringing, popping sounds, and wax buildup in my ears. Moreover, it feels excessive to have to apply products in my ears every time I shower.

ArthritisMultiple SclerosisCrohn's Disease
Male • 25-34
36 minutes ago

Navigating Health Concerns: A Young Woman's Plight with Chronic Migraines and Stress

To summarize a very complex situation, last spring in 2025 was exceptionally challenging for me. I faced overwhelming stressors, including family deaths, eviction, and my parents splitting up. This turmoil led to chest pains so severe that I had to visit the emergency room because I couldn’t breathe deeply without experiencing intense pain. The doctors attributed the issue to psychological causes, but I continued to suffer from pain and instances of fainting due to the stress, which worsened as yet another family member was diagnosed with cancer. My psychiatrist suggested medication, and I started on Lexapro and Concerta, which improved my condition somewhat, even though I remained fatigued and felt like I was merely surviving. By the end of August, I contracted a severe case of bronchitis that caused me to experience fevers even while doing laundry. It seemed I was verging on pneumonia, prompting the prescription of prednisone and other steroid medications. Thankfully, I began to recover quickly, but soon after, I was plagued by persistent headaches and an overwhelming sense of paranoia that someone was out to get me. After another emergency room visit, the physicians informed me that, although my symptoms—such as fever, intense pain, night sweats, sensitivity to light, ear pressure, and a stiff neck—were alarming, they were likely just severe migraines that should eventually fade. Unfortunately, they didn’t. I returned to urgent care for further treatment, received antibiotics, and was advised to consult a neurologist. While the antibiotics provided some relief, my symptoms intensified. My primary care physician eventually prescribed sumatriptan, a medication intended to alleviate migraine pain, but instead, it exacerbated the headache. For the next two to four weeks, I endured an exceptionally difficult time, facing numerous strange symptoms that felt worthy of immediate attention, yet each visit concluded with a migraine diagnosis and a waiting period for my neurology appointment. My frustrations pushed me to contemplate risky alternatives for relief, but I resisted, feeling utterly hopeless and unable to cope. I sought an ear, nose, and throat specialist to rule out sinus issues, which turned out to be fine. A painful spot under my jaw led me to suspect nerve involvement, and I visited the emergency room again due to experiencing stroke-like symptoms (including mild left arm weakness, extreme headache, and minor speech issues). Sadly, I was again told it was merely a headache, and the IV medications were ineffective. During my annual check-up, my primary care provider was unfamiliar with my ongoing issues but discovered an enlarged lymph node in the lower left side of my neck and a cyst on my thymus after conducting a soft tissue scan. She reassured me that there was no need for concern and suggested waiting for my neurology visit or getting my eyesight checked. Despite my yellower complexion, increasing stiffness, and joint pain, I accepted her recommendation. While I mentally adapted to the chronic pain, which was always present, it affected my ability to concentrate and engage in daily life. I tried consuming plenty of lemon juice and engaging in lymphatic drainage massages, which provided transient relief and halted my yellowing skin. Now, in the present, I've noticed a peculiar, raised red bump on the side of my foot. It’s hard, tender, and smaller than a dime, without any accompanying rash. It has persisted for a couple of weeks without causing pain while walking. Additionally, more lymph nodes in my neck have become swollen, I have experienced difficulty swallowing, and I occasionally choke on air. My lungs feel heavier with a diminished sense of smell, though I don't have the thick mucus typical of a cold. The headaches, however, are reemerging, sharper than before, which is a concerning development. Throughout all of this, my blood pressure has remained within a low yet stable range, and my blood tests and CT scans have shown no significant issues. I haven’t consumed anything excessively that might raise concern, including food or drugs. Am I truly facing a serious health crisis? Should I prioritize getting another appointment, or do I need to rush to urgent care? I'm scheduled to see the neurologist in about a month, and I'm wondering if I should ask my primary care provider for some preliminary tests like blood work or an MRI beforehand. If so, what specific questions should I prepare for my neurology visit? I believe the pain has a genuine physical basis, although my anxiety definitely amplifies the experience.

AsthmaMultiple SclerosisLupus
Male • 25-34
46 minutes ago