Reason: PLEASE INCLUDE POPLITEAL FOSSA leiomyosarcoma of left thigh s/p excision who has left thigh nodularity in the distal thigh and proximal left leg History: see above A skin marker is present over the posterior aspect of the left calf presumably corresponding to the patient's palpable area of concern. Immediately underlying this area is a focus of fat signal intensity on all pulse sequences within the medial head of the gastrocnemius, which likely represents focal fatty atrophy, although an intramuscular lipoma could also be considered. No enhancing mass lesions are identified. There is fatty atrophy of the imaged musculature of the left leg. There is skin thickening and enhancement in the surrounding area which is nonspecific but may reflect a cellulitis in the correct clinical context. There is nonspecific subcutaneous edema in the surrounding area. No bone marrow signal abnormality is identified. The imaged musculature of the left leg are otherwise unremarkable.
No enhancing mass lesions are identified. Focal fatty atrophy of the medial head of the gastrocnemius. Skin thickening along the posterior aspect of the left leg may reflect a cellulitis or post therapy changes in the correct clinical context.