EURORAD ESR

Case 13444

Mycetoma foot

Author(s)
Elía-Martínez I, Ramírez-Fuentes C, Angulo-Sánchez M, Nogués-Meléndez P, Cifrián-Cavada C

Hospital Universitario y Politécnico La Fe de Valencia (Spain)
Área Clínica de Imagen Médica
Servicio de Radiodiagnóstico
Sección Musculoesquelético
 
Patient
male, 41 year(s)
 
 
  • Figure 1
    Anteroposterior and oblique radiograph of the left foot

    AP and oblique rx showed translucencies at the interphalangeal joint and moderate sclerosis of the second finger of the left foot.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    Doppler and B-mode ultrasound

    Main hypointense lesion of soft tissues of the second finger. No intralesional Doppler signal.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 3
    CORONAL T2 FS

    Hypointense mass with small nodular hyperintense lesions surrounding the second finger of the left foot.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 4
    Coronal STIR

    Multiple lesions with faint central foci of low signal intensity tissue.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 5
    Sagittal DP FS

    Hypointense mass with small nodular hyperintense lesions surrounding the second finger of the left foot.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 6
    Transversal T1

    Hypointense mass of soft tissue in the second finger of the right foot.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 7
    Axial T1 and T1 + gd

    Numerous small lesions of low intensity in T1 (left image). After contrast (right image) we can see those numerous enhancing lesions containing small low-foci. The lesions are separated by tissue of low signal...

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
  • Figure 8
    Transversal T1 FS + gadolinium

    Enhancing lesions containing small foci.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Infection;
     
     
AP and oblique rx showed translucencies at the interphalangeal joint and moderate sclerosis of the second finger of the left foot.
 
Main hypointense lesion of soft tissues of the second finger. No intralesional Doppler signal.
 
Hypointense mass with small nodular hyperintense lesions surrounding the second finger of the left foot.
 
Multiple lesions with faint central foci of low signal intensity tissue.
 
Hypointense mass with small nodular hyperintense lesions surrounding the second finger of the left foot.
 
Hypointense mass of soft tissue in the second finger of the right foot.
 
Numerous small lesions of low intensity in T1 (left image). After contrast (right image) we can see those numerous enhancing lesions containing small low-foci. The lesions are separated by tissue of low signal intensity.
 
Enhancing lesions containing small foci.
 
 
 
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