Woman 60yo with small skin tumor at righ antebrachial region which appeared 40 years ago, but now changing the color in black skin without pain, and hard in palpation.
Ultrasound of this tumor with 12 MHz linear probe.
US 1: this tumor is underskin cover with strong attenuation. Size of 1 cm.
US2 : in CDI with very little small vascular signals.
US3: Changing of angle of the probe, this tumor is very high colored like artifact.
US4: In this angle twingling artefact appeared very strong.
Video represented twingling color of this tumor.
Operation with local anesthesia removed this mass that is metalic object.
Summary= It is a foreign body made in metal which was under skin for a long time made strong twingling Doppler artifact.