MRV and MRA to be done as requested by Dr. Abc XyzSARKAR

Date : 00.00.00

Name of the Patient : Abc Xyz Kalmn / F / 30 yrs.
Referred by : Dr. Abc Xyzengsarkar.
Examination : M.R.I. of Both Thighs.

CLINICAL PROFILE :

C/O pain with swelling in the left 1/3 rd femur since 6 months.
Operated for a ? removal of lipoma from the same region in 0000.

EXAMINATION :

M.R.I. of both thighs was performed using the following parameters :

7 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.

5 mm thick T1 Weighted and STIR coronal images.

7 mm thick GRASS sagittal images.

OBSERVATION :

There is seen fatty replacement in the bulk of the left vastus lateralis muscle and the biceps femoris muscle, distally. These changes are seen from a distance of about 18.0 cms proximal to the left knee joint.

There is seen multiple, serpingenous lesions in the bulk of the left vastus lateralis muscle, biceps femoris muscles and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally. These lesions are of intermediate signal intensity on the T1 Weighted images and appear hyperintense on the T2 Weighted and STIR images and extend about 18.0 cms supero-inferiorly, proximal to the left knee joint. The is no bone erosion or destruction noted. The subcutaneous tissue around this lesion is unremarkable. There is no extension of this lesion in the left knee space per se.







The rest of the visualized muscles in the distal left thigh and visualized right thigh are unremarkable.

Scar of previous surgery along the antero-lateral margin of the distal left thigh is noted.

IMPRESSION :

1. Post-operative/post-biopsy status.

2. Serpingenous lesions in the bulk of the left vastus lateralis muscle, left biceps femoris muscle and in the intermuscular fat plane between these muscles in the anterior and posterior compartments of the distal left thigh, laterally, as described, are not specific for a single etiology. This lesion most likely represents an intermuscular/intramuscular hemangioma.

As compared to the previous MRI dated 00.00.00, there is no significant change noted.