sb/ke/rg/nl
Date : 00.00.00

Name of the Patient : Abc Xyz Nalmn / M / 53 yrs.
Referred by : Dr. Abc Xyzlal.
Examination : M.R.I. of Both Thighs.

CLINICAL PROFILE :

H/O fibrous histiocytoma in 0000 of right thigh. Operated thrice since.
Patient developed right lower lobe metastasis for which received 6 cycles of Chemotherapy. Right lower and middle bilobectomy was done on 00.00.00. Histopathology s/o moderately differentiated adenocarcinoma.
Now C/O pain and swelling over the back of the right thigh since 6 months.

EXAMINATION :

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

7 mm thick T1 Weighted and T2 Weighted axial images.

7 mm thick T1 Weighted coronal images.

7 mm thick T1 Weighted and STIR sagittal images.

OBSERVATION :

The right thigh appears smaller in diameter as compared to the left. Slight atrophy of the right gluteal muscles is noted.

There is seen a well-marginated, lobulated approximately 4.5 x 4.0 x 10.0 cms sized intermediate signal intensity mass lesion on the T1 Weighted images in the posterior compartment of the middle third of the right thigh. This lesion appears hyperintense on the T2 Weighted and STIR images with a focal hypointense signal within the lesion, proximally. The lesion is seen to involve the biceps femoris muscle.
..2/.






The lesion is approximately 13.0 cms inferior to the right ischial tuberosity. The right profunda femoris vessels and the perforating vessels on the right at the site of the lesion are not well-visualized. The femoral vessels are however not encased by the lesion.

There is no bone erosion or destruction seen. The visualized marrow of the right femur shows normal signal intensity.

The visualized left thigh is unremarkable.

Scar of the previous surgery is noted along the postero-lateral margin of the right thigh.

IMPRESSION :

An approximately 4.5 x 4.0 x 10.0 cms sized, lobulated mass lesion in the posterior compartment of the middle third of the right thigh involving the biceps femoris muscles as described, most likely represents a recurrence of fibrous histiocytoma.

The patient is status post-operative.

No previous scans of the right thigh were available for comparison.