14-year-old male, evaluate for piriformis syndrome or hypertrophy of the piriformis muscle The piriformis muscles are symmetric in size with normal signal intensity. The sciatic nerves coursing anterior to the muscles appear normal.Note is made of a cystic structure to the right of the midline in the prostate, which may represent a prostatic utricle or Mullerian duct cyst. The BMI is elevated.
Normal symmetric appearing piriformis muscles without evidence of piriformis syndrome.