EURORAD ESR

Case 9086

Calcific myonecrosis

Author(s)
Eyselbergs M1, 2, Catry F2, Scharpé P3, Vanhoenacker FM1, 2

1. Department of Radiology, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium
2. Department of Radiology, AZ St-Maarten, campus Duffel, Rooienberg 25, B-2570 Duffel, Belgium
3. Department of Orthopedic Surgery, AZ St-Maarten, campus Duffel, Rooienberg 25, B-2570 Duffel, Belgium
 
Patient
female, 61 year(s)
 
 
  • Figure 1
    Plain radiographs of the right lower leg
     

    Anteroposterior radiograph showing plaque-like soft tissue calcifications parallel in the anterior compartment of the lower leg.

     
    Area of Interest: Musculoskeletal soft tissue;

    Lateral radiograph showing plaque-like soft tissue calcifications parallel in the anterior compartment of the lower leg.

     
    Area of Interest: Musculoskeletal soft tissue;
     
     
  • Figure 2
    Ultrasound examination of the right lower leg

    Ultrasound shows echogenic foci (arrowheads) with retro-acoustic shadowing.

     
    Area of Interest: Musculoskeletal soft tissue;
     
     
  • Figure 3
    Computed tomography of both lower legs
     

    Axial computed tomography of both legs demonstrates bilateral calcifications in the anterior compartment of the lower leg. The peripheral rim (arrows) of the lesions is denser than the central part.

     
    Area of Interest: Musculoskeletal soft tissue;

    Sagittal reformatted image of the right leg shows the plaque-like morphology of the calcifications.

     
    Area of Interest: Musculoskeletal soft tissue;
     
     
  • Figure 4
    Magnetic resonance imaging of both lower legs
     

    Axial T1-weighted image showing areas of intermediate signal intensity in the mass at the left lower leg (arrow).

     
    Area of Interest: Musculoskeletal soft tissue;

    Axial fat-suppressed T1-weighted image shows areas of intermediate signal intensity in the mass at the left leg (arrow). A low intensity rim is present at the periphery of the lesion (arrowhead).

     
    Area of Interest: Musculoskeletal soft tissue;

    Coronal fat-suppressed T2-WI shows the fusiform shaped mass with heterogeneous signal intensities in both lesions (arrows).

     
    Area of Interest: Musculoskeletal soft tissue;
     
     
Anteroposterior radiograph showing plaque-like soft tissue calcifications parallel in the anterior compartment of the lower leg.
 
Lateral radiograph showing plaque-like soft tissue calcifications parallel in the anterior compartment of the lower leg.
 
Ultrasound shows echogenic foci (arrowheads) with retro-acoustic shadowing.
 
Axial computed tomography of both legs demonstrates bilateral calcifications in the anterior compartment of the lower leg. The peripheral rim (arrows) of the lesions is denser than the central part.
 
Sagittal reformatted image of the right leg shows the plaque-like morphology of the calcifications.
 
Axial T1-weighted image showing areas of intermediate signal intensity in the mass at the left lower leg (arrow).
 
Axial fat-suppressed T1-weighted image shows areas of intermediate signal intensity in the mass at the left leg (arrow). A low intensity rim is present at the periphery of the lesion (arrowhead).
 
Coronal fat-suppressed T2-WI shows the fusiform shaped mass with heterogeneous signal intensities in both lesions (arrows).
 
 
 
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