Presentation
Incidental findings during workup for abdominal pain.
Patient Data
Left-sided gluteal muscles are markedly atrophic with relative sparing of the gluteus maximus. An imaged portion of the left upper thigh also shows atrophy of the anterior and posterior muscular compartments, though the sartorius muscle appears spared. Fatty replacement of the above-mentioned muscles is seen.
The right side gluteal region and imaged thigh are unremarkable.
Visualized bones are normal.
Case Discussion
CT features are left-sided gluteal muscle atrophy. No history of a definite cause was identified, such as poliomyelitis. This finding may be secondary to long-standing disuse.
Co-contributor: Dr. Anwar-ul-Haq Zadran