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CT imaging may demonstrate soft tissue thickening and luminal protrusion with associated infiltrative changes (Fig. 27).
First, to identify the presence of matrix mineralization for example, synovial sarcoma may demonstrate soft tissue calcification in between 10 and 30% of cases 8. Second, heterotopic ossification may be identified which may present as clinical recurrence.
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Its appearance on CT is non-specific and may demonstrate focal soft tissue masses or diffuse peritoneal infiltration with irregular thickening of the peritoneum and often ascites.
The second important principle is that any subtle abnormality detected on sagittal imaging should be interrogated with orthogonal plane imaging, which may demonstrate a soft tissue mass encroaching on the lateral aspects of the cord (Fig. 1).
Soft tissue foreign bodies may demonstrate a variety of sonographic patterns depending on several factors including composition, size, and length of time embedded.
On CT, tumours are usually of soft tissue attenuation and may demonstrate areas of low attenuation, which indicate cystic degeneration or calcification in response to therapy.
However, primary epithelial malignancies of the lacrimal gland may demonstrate a round or ovoid well-defined soft tissue mass without bony erosion [ 28], which was seen in four patients with adenoid cystic carcinoma of the lacrimal gland in our study.
Whereas haemorrhagic cysts may demonstrate some subtle peripheral enhancement, most solid soft-tissue neoplasms will show more diffuse and central enhancement.
In addition, the soft-tissues surrounding the aneurysm may demonstrate enhancement [50].
Clear cell sarcoma of tendons and aponeuroses (malignant melanoma of soft parts) and conventional malignant melanoma may demonstrate significant morphologic overlap at the light microscopic and ultrastructural level.
Radiologically, mature teratomas may demonstrate a broad spectrum of findings ranging from a purely cystic mass, a fat-containing mass or a heterogeneous soft tissue mass.
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