An Unusual Case Of Atraumatic Thigh Pain

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An Unusual Case Of Atraumatic Thigh Pain - Page #3

Lab Studies: No labs were ordered on the initial visit Other Studies: RIGHT LOWER LEG U/S DOPPLER: No sonographic evidence of right lower extremity DVT. Ill-defined hypoechoic area of change measuring 29mm, raising a possibility of muscle tear and / or intra-muscular hematoma. However, neoplasm could not be excluded given mass-like appearance. An MRI w/o IV contrast was recommended. RIGHT FEMUR X-RAY: Mild degenerative changes of the right hip joint with Cam-type femoroacetabular impingement in the adequate clinical setting Case Photo #4 Case Photo #5 Case Photo #6 . MRI RIGHT FEMUR W/O CONTRAST: High-grade mid-substance right sartorius muscle tear with associated intramuscular hematoma, interfascial fluid, and significant surrounding edema Case Photo #1 Case Photo #2 Case Photo #3 . A mass lesion was considered much less likely. A short-term follow-up in 3 months was recommended. Consultations: Physical therapy Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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