difficulty with finding cross sectional area of skeletal muscle at l3 for assessing sarcopenia

If slice spacing is 1mm then cross-section surface area in mm2 will be the same as volume of a single-slice segment in mm3, so the equal volume and surface value does not indicate an error.

Can you attach a screenshot?

Do you get the same value if you draw a closed curve and enable “area” measurement? (using Markups module; using latest Slicer Preview Release)