hs/sb/nl/nl
Date : 00.00.00

Name of the Patient : Abc XyzGheelmn / M / 44 yrs.
Referred by : Dr. Abc Xyzlsara.
Examination : M.R.I. of the Right Thigh.

CLINICAL PROFILE :

C/O swelling over the right thigh which is progressive since 2 years with pain since 8 days.

EXAMINATION :

M.R.I. of the right thigh was performed using the following parameters :

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

9 mm thick T1 Weighted coronal images.

5 mm thick T1 Weighted and STIR sagittal images.

OBSERVATION :

There is evidence of a fairly well-defined mass lesion measuring approximately 6.7 x 11.0 x 10.1 cms and located within the subcutaneous soft tissues in the anterior aspect of the right thigh.

This lesion is predominantly hypointense on the T1 Weighted images and turns hyperintense on the T2 Weighted and STIR images and most likely represents a cystic component of this lesion. This lesion also shows an intermediate signal intensity component on the T1 Weighted images which turns hyperintense on the T2 Weighted and STIR images which is located along its anterior and medial aspect. This may represent a solid component. Ill-defined hypointense signal is noted anterior and medial to this lesion within the subcutaneous fat and this may represent extension of this lesion/inflammatory changes.


The lesion is seen to be located anterior to the right rectus femoris muscle. It is seen to be compressing it with slight posterior displacement. There is suspicious involvement of this muscle. The inferior aspect of this lesion is located at a distance of approximately 20.0 cms proximal to the right knee joint.

The rest of the visualized muscles and right femur are unremarkable. There is no obvious vascular anomaly on this scan.

IMPRESSION :

The MRI features are suggestive of a mass lesion measuring approximately 6.7 x 11.0 x 10.1 cms, located within the subcutaneous soft tissues in the anterior aspect of the right thigh with its lower margin about 20.0 cms proximal to the right knee joint. This is not specific for a single diagnosis. Neoplastic process like a synovial cell sarcoma/soft tissue sarcoma may be considered as differential diagnosis.