Check for myositis in the right thigh. High CK levels with pain Markers are observed overlying the anterior aspect of the mid thigh overlying the rectus femoris. Inflammation in the subcutaneous soft tissues with small punctate areas of signal dropout are observed, questionably representing small foci of gas and or possible punctate metal, including surgical clips or bullet fragments. Please correlate with patient history and consider possible plain film correlation. This area of involvement measures under 3 cm in all dimensions.This ill-defined area of change demonstrates minimal focal enhancement and this may represent increased vascularity (possibly a poorly defined small hemangioma, image 23 series 9) overlying and abutting the surface of the rectus bundle yet without definite distinct involvement or displacement. The remaining muscular compartments and muscle bodies are otherwise entirely intact without abnormality. Specifically compartmental fat planes are distinct and observed. No findings to support a diagnosis of myositis.The underlying osseous structures are entirely normal. Normal marrow signal is also observed throughout. No abnormal enhancement other than this focal area described above. No lymphadenopathy
Minimal focal change involving the subcutaneous soft tissues involving the anterior right thigh. Minimal enhancement with questionable increased focal vascularity is nonspecific and although possibly related to minimal infection or possibly artifact from punctate metal (please correlate with patient history), mild focal and enhancement may represent an underlying benign vascular benign process.