Female 57 years old. Reason: right gluteal pain and fluctuance with hematoma, concern for mass. History: as above Heterogeneous thickening and inflammation within the gluteal musculature most prominent in the medial aspect of the gluteus medius. There is stranding and inflammation of the subcutaneous tissues. This extends from the midline to the muscles overlying the hip laterally without extension into the anterior muscles or the pelvic compartment. This correlates with abnormalities seen on the CT study from 4/27/2015 and possibly minimally progressed but more likely mild shifting and dispersement along the entire muscle.  There is a discrete, more nodular intramuscular mass like focus in the lateral aspect of the gluteal musculature, which is isointense to muscle on T1 weighted images, heterogeneous on T2 weighted imaging with mild heterogeneous enhancement largely involving the periphery. The findings are most suspicious for contusion superimposing an intramuscular hematoma with a more discreet thrombus. Bone marrow signal is otherwise unremarkable. The anterior components of the musculature and pelvic structures are otherwise unremarkable, given the limitations due to motion artifact and patient positioning.
Findings most suspicious for contusion and intramuscular hematoma within the gluteal musculature.