second MRI results 24.02.2018

24.02.2018, at Sulayman Al-Habib Hospital, Al-Takhassusi branch.

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MRI of the left leg obtained on multi-plantar sequences with IV contrast

Technical factors: Multiplantar MRI of the left leg was obtained and included T1, T2 and proton density weightier images. Fat suppression technique was utilized. Intravenous contrast was administered.

Findings:

The lesion measures 7.28x4.07x2.75 cm at maximum. CC, Tr and AP diameters respectively. It has homogeneous low signals on T1 and bright signals on PD and STIR images with internal solid septa of fibrous predominant dark signals on all pulse sequences. tiny intra substance phleboliths are also noted following dark signals on all pulse sequences, the largest measures 2,3 mm. On post contrast imaging, this lesion exerts heterogeneous pattern of enhancement with faint poorly enhancing internal septa and phleboliths.

this presentation was seen consistent with intra muscular low flow vascular malformation.

Partial volume loss with predominant intra muscular edema and fatty component seen through the left soleous muscle belly with preserved feathery patter may be related to underlying denervation muscle atrophy.

Normal signal intensity is seen within the bone marrow of the visualized portions of the tibia and fibula.

There is no evidence of bone marrow edema.

The soft tissue is unremarkable, without evidence of soft tissue edema.

Impression: Intra muscular low flow vascular malformation seen at the soleus muscle with size, signals, distribution, enhancing patterns and contents as described above. Denervation muscle atrophy with partial volume loss of the soleus muscle.