Date : 00.00.00

Name of the Patient : Abc Xyzhotlmn / F / 57 yrs.
Referred by : Dr. Abc Xyzhansali.
Examination : M.R.I. of the Right Thigh.

CLINICAL PROFILE :

H/O being operated for a myxoid liposarcoma Grade I on 00.00.00.
For follow-up.

EXAMINATION :

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

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

7 mm thick STIR sagittal images.

7 mm thick T1 Weighted coronal images.

OBSERVATION :

The scar of previous surgery is noted along the antero-lateral margin of the middle third of the right thigh.

There is slight decrease in bulk of the vastus lateralis muscle in the middle and lower third of the right thigh. The anterior half of the vastus lateralis muscle, in the middle third of the right thigh shows a hyperintense signal on the T2 Weighted and STIR images. This signal is isointense to normal muscle on the T1 Weighted images. The vastus intermedius muscle, just deep to the above described segment of the vastus lateralis muscle also shows an ill-defined hyperintense signal on the STIR images.



The rest of the visualized muscles of the right thigh are unremarkable. The facet planes are unremarkable. The visualized right femur shows normal signal. There is no bone erosion or destruction seen.

The visualized left thigh is also unremarkable.

IMPRESSION :

1. Post-operative status.

2. Altered signal in the right vastus lateralis muscle and in the right vastus intermedius muscle, in some places, in the middle third of the right thigh as described, most likely is the sequelae of previous surgery (post-operative fibrosis). The possibility of these signal intensity changes being due to tumor recurrence is less likely. A follow-up would be worthwhile.

As compared to the previous MRI (scan no:0000) dated 00.00.00, the previously identified mass lesion in the right thigh is not identified on the present study.