Reason: eval enlarging mass over greater troch History: s/p excision of DFSP, reconstruction with V-Y advancement perforator flap 11/17/14 with enlarging mass over left hip There are surgical changes related to excision of the patient's dermatofibrosarcoma protuberans and soft tissue flap reconstruction. We see no enhancing mass overlying the greater trochanter to indicate tumor recurrence. Slightly amorphous and linear signal abnormality in the overlying subcutaneous fat may represent surgical scarring. The signal intensity of the musculature is within normal limits. Bone marrow signal intensity is normal. There are a few inguinal lymph nodes, several of which have increased in size slightly when compared with the CT scan from 2/9/2016 but the clinical significance of this is uncertain. There is mild degenerative disc disease at L4-5.
Surgical changes of dermatofibrosarcoma protuberans excision and soft tissue flap reconstruction involving the lateral aspect of the upper left thigh. We see no imaging features of tumor recurrence. Several inguinal lymph nodes appear to have increased slightly when compared with the recent CT scan but the clinical significance of this is uncertain.