Reason: melanoma please eval disease status History: melanoma Right femur:There are small foci of signal void within the anterior groin region presumably representing prior surgical intervention. There are small inguinal lymph nodes which are not necessarily pathologic by size criteria. There is mild inflammation about the ischium at the origin of the hamstring tendons, which is not necessarily of any current clinical significance. Again seen is atrophy of the long head of the biceps femoris with increased signal intensity along the myotendinous junction, distally, likely representing a chronic tear, appearing similar to the prior study. There is associated enhancement at the level of the myotendinous junction likely representing granulation tissue. There is a small amount of fluid within the left knee joint extending posteromedially into a Baker's cyst. Moderate osteoarthritis affects the knee. There is a small lobulated focus of signal abnormality in the distal femoral diaphysis which likely represents a benign enchondroma.Right tibia/fibula:There are small foci of signal void within the lateral soft tissues adjacent to the fibular head which presumably represent metallic susceptibility artifact from prior intervention. The previously described poorly defined enhancement within the adjacent subcutaneous fat appears less pronounced when compared to the prior study and likely represents scar tissue. There is minimal edema and enhancement along the anterior aspect of the patellar tendon which may represent inflammation but this is also less pronounced on the current study than on the prior examination. We see no enhancing mass lesions.
Surgical changes along the anterior aspect of the left groin and left fibular head with interval decrease in inflammation along the fibular head. We see no specific findings to suggest recurrence. Other findings as described above.