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

What's Going On with My Eyelid?!

Age: 35, Height: 5’3”, Weight: 182 lbs. I’m currently undergoing evaluation for various neurological symptoms, which include hyperreflexia accompanied by delayed leg extension, a known history of hyperreflexia, and a positive Hoffman sign alongside a pectoralis spread. Additionally, I'm presenting autoimmune indicators such as an ANA result of 1:1280 speckled, borderline dsDNA, along with a previous indeterminate scl-70 of 0.9 and an indeterminate ACL at 17. I'm also dealing with severe fatigue, a past of bilateral ECU tendonitis, and TFCC tenosynovitis. To top it off, there's nocturnal hypoxemia, dipping to 82% while having an Apnea-Hypopnea Index of less than 4. This leads to difficulty maintaining concentration, requiring a stimulant to stay alert throughout the day. I was previously diagnosed with obstructive sleep apnea (OSA) purely based on occurrences of hypopneas. My husband claims I tend to "forget to breathe"—this has been validated, as monitoring my oxygen saturation levels often triggers alarms when they drop, only to recover after I take a deep breath. This issue dates back to when I was at a healthier weight of 120 lbs. I may also have ADHD, coupled with diagnosed anxiety and depression. I underwent gastric sleeve surgery in February 2025, resulting in a weight loss of 96 lbs. My recent complete blood count (CBC) and comprehensive metabolic panel (CMP) have come back normal, though my ferritin and iron saturation are slightly low but trending upward. Additionally, I have a history of benign pineal gland cysts and a 5-6mm right-sided cerebellar tonsillar ectopia, without any imaging indications of cerebrospinal fluid obstruction. Moreover, I frequently trip and fall. Current Medications: Sertraline, Omeprazole, Methylphenidate ER. In summary—There’s a lot on my plate medically, but here's the particular problem that’s bothering me today. It's somewhat subtle and hard to notice, but it concerns the outer part of my upper eyelid. As of today, my right eyelid has been twitching uncontrollably and in short bursts! What could be causing this, and why does it occur so frequently? It's becoming quite bothersome!

ArthritisMultiple SclerosisLupus
Male • 25-34
43 minutes ago

Tenderness in the Scalp and Temple

A 40-year-old female with a history of migraines has been experiencing intermittent discomfort in her right temple for the last few months. The pain fluctuates between sharp and dull sensations. Notably, during scalp massages, such as those provided at hair salons, she has observed that her right scalp is significantly more sensitive, regardless of whether she is currently feeling pain in her temple. She predominantly sleeps on her right side, as sleeping on her left tends to trigger Benign Paroxysmal Positional Vertigo (BPPV) in her left ear. The only possible explanation she can think of for her symptoms is temporal arthritis. While her ENT physician mentioned this as a possibility, they did not appear overly concerned. She wonders whether the pain should exhibit a consistent worsening pattern or if the intermittent nature of her symptoms could still be expected.

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

Unexplained Recurring Bruises: When Should You Be Concerned?

I'm a 28-year-old woman experiencing strange bruising on the inner portion of my knee. Typically, I don’t bruise easily, so this is particularly alarming for me. This marks the second occurrence; the first bruise appeared on the tenth, and the latest one showed up today. I can't recall any incident where I banged my knee against something that could result in a bruise. In both my home and workplace, there’s no furniture that could have unexpectedly caused this injury without my awareness. The area feels odd and somewhat unstable, though the pain is just mild—mainly noticeable when I move my leg, such as when I cross my knees. Additionally, I have a familial predisposition to cancer, including types that affect the bones and blood. Should I be worried about this?

ArthritisLupusInternal Medicine
Male • 25-34
44 minutes ago

Seeking Help: My Wife's Continuous Vomiting

Greetings everyone, I'm reaching out from a quaint town in Ontario, Canada. For the past four months, my wife, who is 39 years old, has been suffering greatly. Every time she consumes food or even drinks a sip of water, she is instantly sickened and vomits. When I say instantly, I mean it happens within mere seconds; there’s absolutely no time for her to brace herself. She doesn't experience any feelings of nausea; it appears as if her body is simply rejecting everything that enters her stomach. In this short period, she has drastically lost weight, dropping from 225 pounds to just 160 pounds. Her clothing size has changed from XL to medium, a stark transformation. Just to clarify, this is not a case of self-induced purging; it genuinely seems as if her body cannot tolerate any substances. As a certified chef, I've experimented with various diets to no avail; however, since this reaction occurs even with water, I rule out dietary issues as a factor. She has undergone numerous tests, including blood work, a gastrointestinal scope, CT scans, ultrasounds, and X-rays, yet still, the medical professionals haven't pinpointed any issues. It's disheartening to feel that this condition isn’t being taken seriously, and I live in constant fear of possible long-lasting harm to her health. The next scheduled test is another upper GI scope, where she will need to swallow gas granules and drink barium while imaging is performed under fluoroscopy. Unfortunately, that appointment isn't until September 22, which feels like an eternity, especially given how much weight she has already lost. If anyone has suggestions on possible causes or advice on what she might discuss with her doctor, I would greatly appreciate it. I am genuinely worried and feeling increasingly hopeless.

ArthritisCrohn's DiseaseCOPD
Male • 25-34
57 minutes ago

Confused by Bizarre Symptoms – Tremors, Tingling Sensations, and Warm Hands

I’m 24 years old, a 5'2" tall black female weighing 200 pounds. For the past year, I've been grappling with a series of unusual symptoms affecting my entire body, leaving me feeling utterly perplexed. Initially, the issues began with tremors in my hands; they shake and twitch, at times moving involuntarily. Recently, I’ve also experienced sporadic slurred speech and a peculiar sensation akin to insects crawling on my skin. Additionally, numbing and tingling sensations frequently occur in my arms, legs, and feet, accompanied by random muscle spasms. During nighttime, when I attempt to relax, I occasionally experience full-body jerks that feel as if my entire body is trembling. Headaches and migraines have also become frequent companions, with my optometrist noting the swelling of my optic nerve upon examination. An MRI revealed slight bulging of the optic nerve sheaths and a minor prominence of the cerebrospinal fluid (CSF). Furthermore, I've noticed my hands turning red and feeling hot when exposed to the outdoor environment. Engaging in any physical activity, whether it’s walking or exercising, exacerbates my symptoms significantly. Lying down seems to provide the only relief. I underwent some blood tests, which returned results indicating low red blood cell count (anemia), decreased albumin levels, a low albumin/globulin ratio, low CO₂, and an elevated erythrocyte sedimentation rate (ESR). My tests came back negative for antinuclear antibodies (ANA) and rheumatoid factor (RF), with no visible rashes or skin conditions. I have experimented with Acetazolamide as a treatment, but it hasn’t yielded much improvement. Feeling overwhelmed, I am struggling to connect the dots regarding what might be happening. Could this be indicative of a neurological disorder, perhaps an autoimmune response, or even a circulatory issue? Has anyone here had similar experiences, or do you have any recommendations for questions I could pose to my healthcare providers? Thank you for taking the time to read my post!

Multiple SclerosisLupusThyroid Disorders
Male • 25-34
1 hour ago