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Case 067

A 21 year old with a skin lesion

This 21 year old presented with a localised area of reddened skin over the left shoulder. This had been present for several weeks.

An MRI of the shoulder was performed to assess the lesion further. Example images are shown from the following sequences:

1. Axial T1 and T2 STIR (fat suppression)
2. Axial T1 pre and post gadolinium
3. Coronal T2 STIR

What are the findings, and can you suggest a differential diagnosis?