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J Korean Radiol Soc. 2007 Sep;57(3):287-289. Korean. Case Report.
Lee EJ , Lee YH , Jung KJ , Park YC , Kim HK , Kim OD .
Department of Radiology, School of Medicine, Catholic University of Daegu, Korea.

Partial or complete loss of innervation of skeletal muscle leads to muscle weakness and atrophic changes, resulting in decreased muscle volume with fatty replacement. Rarely, enlargement of the affected muscle may occur, related to two processes: true hypertrophy and pseudohypertrophy. We report CT and MR findings of the pseudohypertrophy of calf muscles, especially the soleus and gastrocnemius muscles, in a patient with diabetic neuropathy that showed increased muscle volume with diffuse fatty replacement and the presence of scanty muscle fibers.

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