Hello there,To diagnose lipedema, there are two factors that are most important. It is a clinical diagnosis and there are no blood tests for lipedema. It is based on two things, the pattern of distribution of the fat and secondly, the symptoms that go along with it. The pattern of distribution tends to be a circumferential pattern that goes all the way around and gives a column-like looks to the legs, that goes from the groin all the way to the ankles even to the calves and ankles. It also can be in the upper arms. The more important component is the symptoms that comes along with that which is pain, swelling and easily bruised. We look for family history as well, we call is autosomal dominant, an inheritance pattern which is passed on from parents to their children. In your particular case, you do have mild fullness of the entire leg from the groin area to the ankle area. It does look like this fat circles the entire legs all the way around. Your thighs are full as well as the anterior thighs as well as some cellulitic changes to the posterior thigh compartment. Your calves and ankles look like they have fullness all the way down also. The pattern of distribution of fat does seem consistent with lipedema and you would have very mild, early stage 1 lipedema. If you do have any of the symptoms, then it looks like you have stage 1 lipedema. I wish you the best of luck with your care. If you have any questions, please contact my practice.