Other Studies:
Radiographs were performed onsite at the initial visit. Aside from the left calf atrophy, the images were normal Case Photo #1
The EMG was read as abnormal, most consistent with a chronic left tibial neuropathy
MRI with and without contrast of the left lower extremity:
Fusiform dilatation with edema and enhancement of the tibial nerve just distal to the common peroneal nerve takeoff approximately 10 cm superior to the knee joint
Measures ~ 3 cm in length
Case Photo #2 Case Photo #3
A 1.8 cm questionable second lesion is found approximately 7 cm superior to the knee joint
Consultations:
Referral to a neurologist, who recommended a tumor biopsy for diagnostic confirmation and management planning.
An orthopedic surgeon who specializes in microvascular nerve procedures.
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