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Lipoma arborescens CT of the knee. Diffuse type sometimes referred to as secondary. It has been suggested that the lesion can be divided into a primary and a secondary type. The primary type is rare and has been described as a form of synovial lipomatosis with hypertrophy as the cardinal feature. The secondary type has been defined as lipomatosis resulting from chronic irritation of the synovium (as seen with degenerative arthrosis) rather than a true neoplasm and is by far the most common form of lipoma arborescens. [ Article ]