Cyclist Pain

Sharing a nice case from this week!
Hx: 37-year-old male, avid cyclist (125+ miles per weekend), experiencing perineal pain, clinical suspicion for soft tissue mass vs. hamstring tendinopathy.
MR Findings: Edema and scarring of the subcutaneous layer of bilateral perineal fat pads/medial proximal thighs, left greater than right, without significant contrast enhancement.

Diagnosis: "Biker’s Saddle Soreness" (also known as "Cyclist Perineal Pain", "Cyclist’s Nodule").

More at:

Seen some similar cases over the years. Share with me your experience!

Have a great weekend!

Atul

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