Sunday, 27 December 2015 16:48

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Date : 00.00.00

Name of the Patient : Abc Xyzra Mahlmn / M / 18 yrs.
Referred by : Dr. Abc Xyzshi.
Examination : M.R.I. of the Left Thigh.

CLINICAL PROFILE :

C/O pain in the left thigh since 1 year.

EXAMINATION :

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

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

6 mm thick STIR and T1 Weighted coronal images.

6 mm thick T1 Weighted and GRASS sagittal images.

OBSERVATION :

There is evidence of an irregularly defined mass lesion within the left vastus medialis muscle in the middle third of the left thigh extending over a distance of approximately 10.0 cms. The inferior aspect of this lesion is located at the distance of approximately 12 - 13 cms from the left knee joint.

This lesion is predominantly hyperintense on all the pulse sequences. A few serpingeneous signal voids suggestive of vessels are seen within this lesion. A few punctate hypointensities on the GRASS images within this lesion may represent paramagnetic substances/calcium/fibrous tissue.





The visualized portion of the left femur shows normal signal intensity. There is no obvious bony destruction or erosion.

The fat planes around the muscles are unremarkable.

IMPRESSION :

The MRI features are suggestive of a mass lesion within the left vastus medialis muscle in the middle third of the left thigh extending over a distance of approximately 10.0 cms. as described. This most likely represents a neoplasm like a hemangioma. The possibility of this being another neoplasm like a soft tissue sarcoma cannot be excluded.


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