A Painful Subscapular Mass

Alexandra Naides, BFA; Jerette Schultz, MD; Ashley Ignatiuk, MD


ePlasty. 2020;20(ic8) 

In This Article


A 49-year-old woman presented with a left back mass in the subscapular region that began to cause pain with shoulder movement. Ultrasound scan was obtained to evaluate the lesion and showed a 6.9 × 6.3-cm mass between the left scapula and the posterior chest wall. It was 1-cm thick, discoid, well-circumscribed, and heterogeneous in nature and diagnosed by the radiologist as most likely elastofibroma dorsi based on the location. The patient was taken to the operating room and a fatty soft-tissue mass was removed from beneath the serratus anterior muscle. The final pathology report revealed the mass to be a lipoma.