52-year-old male with history of Kennedy's disease with right flank superficial discomfort and swelling. In the subcutaneous tissues in the region of the patient's discomfort and visible swelling there is an ovoid region which is isoechoic to surrounding fat measuring 0.8 x 3.8 x 3.5 cm. There is no defect in the adjacent abdominal wall nor is or significant change with Valsalva. Findings are most suggestive of lipoma.
Findings most consistent with lipoma involving the subcutaneous fat of the right flank.