Hi
This 26 year old male had 5 days of right lower abdominal pain going to groin. Surgical team wanted to rule out appendicitis so did this abdomen CT. US of testis was normal
I know the quality of images are not that great but I hope I could get your opinion about the right ileopsoas muscle.
Thanks
Foroogh
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614a5d2c9931b.html 
More importantly-
Perform plexus imaging for right L4 neuropathy and femoral neuropathy – L4 nerve looks thick
Quad is ok but that would be my concern and I have injected fem and L4 nerves for pain relief – with hylenex for scarring like this.
fyi- I don’t see your email so just replying to the message
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines Blvd., Dallas, Texas 75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>
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Hi
This 26 year old male had 5 days of right lower abdominal pain going to groin. Surgical team wanted to rule out appendicitis so did this abdomen CT. US of testis was normal
I know the quality of images are not that great but I hope I could get your opinion about the right ileopsoas muscle.
Thanks for all your responses
So the comments were:
– iliopsoas atrophy; unclear cause.
– possible polio – given asymmetric changes
I had a look at patients’ online notes- he is booked for an MRI, I’ll share it once it is done. More info : No hx of polio but had right hip dislocation in childhood with surgical treatment; also under workup for clinically suspected Marfan Syndrome. So there is some background disease.
Cheers and Thank you again.
Foroogh