EURORAD ESR

Case 10004

Extensive regional non infective myonecrosis following a transfusion extravasation

Author(s)
Weerakkody Y, Foulner D

Sir Charles Gairdner Hospital,
Perth, WA, Australia
Email:rachmaninov31@hotmail.com
 
Patient
female, 40 year(s)
 
 
  • Figure 1
    MR

    Axial MR T1 image through mid left forearm shows evidence of an anterolateral fasciotomy and relative loss of intermuscular fat planes across the forearm.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 2
    MR

    Axial MR T2 FS image through mid left forearm showing widespread high T2 signal in keeping with extensive oedema.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 3
    MR

    Axial MR T1 FS post contrast image through mid left forearm showing widespread intra-muscular non enhancement in both flexor and extensor compartments. There is enhancement around these muscles and flow signal within...

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Ischaemia / Infarction;
     
     
  • Figure 4
    MR

    Coronal MR T1 FS post contrast image through left forearm showing the longitudinal extent of non enhancement within the muscles as well as the extent of peripheral enhancement in surrounding tissues.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Ischaemia / Infarction;
     
     
Axial MR T1 image through mid left forearm shows evidence of an anterolateral fasciotomy and relative loss of intermuscular fat planes across the forearm.
 
Axial MR T2 FS image through mid left forearm showing widespread high T2 signal in keeping with extensive oedema.
 
Axial MR T1 FS post contrast image through mid left forearm showing widespread intra-muscular non enhancement in both flexor and extensor compartments. There is enhancement around these muscles and flow signal within the superficial veins.
 
Coronal MR T1 FS post contrast image through left forearm showing the longitudinal extent of non enhancement within the muscles as well as the extent of peripheral enhancement in surrounding tissues.
 
 
 
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