Reason: stage IV melanoma involving the left leg History: assess for disease burden Note is made of multiple enhancing masses situated within the subcutaneous tissues along the posterior aspect of the calf, with the largest measuring 2.2 x 1.3 cm, consistent with the patient's history of metastatic melanoma. These masses abut the posterior margin of the medial and lateral heads of the gastrocnemius and appear grossly similar to the CT examination from 4/1/2016, when allowing for differences in technique. The imaged musculature of the left leg is otherwise unremarkable. No bone marrow signal abnormality is identified.
Multiple enhancing masses along the posterior aspect of the left calf consistent with the stated history of metastatic melanoma with reference measurements provided above..