70 year old female with left scalp/neck lump and headache. Additional patient noted a palpable mass in the left back. In the left scalp region there is a relatively hypoechoic solid nodule measuring 1.0 x 0.7-cm x 1.1-cm with no internal vascularity or definite microcalcifications. Additionally, patient noted a palpable mass in the left back. Limited ultrasound showed an echogenic heterogeneous solid mass measuring 3.6 cm x 0.9 cm 3.1 cm with no increased internal vascularity or definite microcalcifications.
1. In the left scalp findings may represent a small lymph node, although other considerations include a sebaceous cyst or small lipoma. 2. In the left back findings favor a lipoma. If definite characterization is needed, MRI can be obtained. 