An 18-year-old patient with a C7 incomplete spinal cord injury is receiving physical therapy for ambulation training and muscle strengthening.  At 8 months following the injury, the patient begins to develop unilateral lower extremity edema in his left leg measured as 3+.   The patient also complains of localized tenderness in the center of the posterior calf.  Which of the following measures is MOST likely to confirm the diagnosis?

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