Denervation pseudohypertrophy of calf muscles

Case contributed by Utkarsh Kabra
Diagnosis probable

Presentation

Painless swelling of right calf; known case of diabetes mellitus.

Patient Data

Age: 50 years
Gender: Male

Increased bulk of right soleus and medial head of gastrocnemius muscles is seen with near complete fatty replacement of soleus and significant fatty infiltration of medial head of gastrocnemius muscle.

Case Discussion

In a known case of diabetes mellitus, the above MRI findings suggest the likelihood of right pseudohypertrophy of the calf muscles, likely secondary to denervation due to diabetes mellitus (diabetic neuropathy).

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