49-year-old female status post ray amputation of the right ring finger for epithelioid sarcoma. Evaluate for recurrence. Again seen are postoperative changes related to prior amputation of the fourth digit through the mid diaphysis of the fourth metacarpal, with transposition of the fifth digit. Evaluation of the fourth metacarpal is limited by metallic susceptibility artifact related to the presence of a plate and screw device affixing the aforementioned transposition. There is a small round focus of signal abnormality overlying the skin of the web space between the ring and middle finger which we suspect represents metallic susceptibility artifact from the patient's prior surgery. We see no masses or other findings to suggest tumor recurrence. The remaining bone marrow signal intensity is within normal limits. There is no abnormal enhancement seen following contrast administration.
Postoperative changes without evidence of tumor recurrence.