90-year-old female with a history of soft tissue sarcoma adjacent to the left elbow treated with resection, free flap reconstruction and postoperative radiation therapy. Suboptimal evaluation secondary to the patient's refusal to receive intravenous contrast. A vitamin E capsule overlies the soft tissues along the posterior aspect of the elbow. Note is made of soft tissue irregularity along the medial aspect of the left elbow which may represent postoperative change versus ulceration and correlation with physical examination is recommended. There is associated increased signal abnormality on fluid sensitive sequences most pronounced along the posterior and medial aspect of the elbow. While these findings may represent postsurgical/post radiation therapy change, given the lack of intravenous contrast, residual or recurrent tumor cannot be completely excluded by this examination. There is a small joint effusion. No bone marrow signal abnormality is identified.
Soft tissue irregularity and signal abnormality about the posteromedial aspect of the left elbow presumably represents posttherapy change, although residual or recurrent tumor cannot be excluded on this noncontrast examination. Other findings as described above.