Indolent synovial sarcoma in adolescent male: MR, PET, micro
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A 16-year-old Native American male presented with 2 years of gradually worsening left knee pain initially treated with anti-inflammatory medication and physical therapy. Magnetic resonance imaging revealed the 2.3 cm soft tissue mass within the infrapatellar space displacing Hoffa’s fat pad which shows predominantly T1 hypointensity and T2/PD heterogeneity with areas of iso, hypo and hyperintense signal (to muscle). Coronal PD image confirms location predominantly within the medial compartment of the left knee with questionable early involvement of the medial femoral condyle. After referral to orthopedic surgery, he underwent arthroscopy with subtotal synovectomy/excision.

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