EURORAD ESR

Case 9818

Quadriceps fat pad oedema (QFPE) syndrome

Author(s)
Korchi MA, Syrogiannopoulo A, Tchernin D

Geneva University Hospitals,
Diagnostic and Interventional Radiology;
Rue Gabrielle-Perret-Gentil 4,
1211 Genève 14, Switzerland;
Email:mohamed.a.korchi@hcuge.ch
 
Patient
female, 63 year(s)
 
 
  • Figure 1
    Sagittal proton density image of the left knee

    The quadriceps fat pad has a slightly decreased signal, with mass effect on the suprapatellar recess seen by a posterior convexity.

     
    Area of Interest: Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Congenital; Infection;
     
     
  • Figure 2
    Coronal STIR image of the anterior knee

    Coronal STIR image showing a hyperintensity of the quadriceps fat pad (green arrow)

     
    Area of Interest: Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Connective tissue disorders; Inflammation;
     
     
  • Figure 3
    Coronal T1 image of the anterior knee

    Coronal T1 image showing a slight hypointensity of the quadriceps fat pad (green arrow)

     
    Area of Interest: Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Connective tissue disorders; Inflammation;
     
     
  • Figure 4
    Sagittal proton density image with fat saturation of the knee

    Sagittally reformatted 3D FSE proton density weighted image with fat saturation (DP VISTA, Philips) showing hyperintensity of the quadriceps fat pad with mass effect on the suprapatellar recess as seen by a posterior...

     
    Area of Interest: Management; Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Connective tissue disorders; Inflammation;
     
     
  • Figure 5
    Axial proton density image with fat saturation of the knee

    Axially reformatted 3D FSE proton density weighted image with fat saturation (DP VISTA, Philips) showing hyperintensity of the quadriceps fat pad with mass effect on the suprapatellar recess as seen by a posterior...

     
    Area of Interest: Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Connective tissue disorders; Inflammation;
     
     
  • Figure 6
    Sagittal T1 FS image after gadolinium administration of the knee

    Sagittal T1 fat saturated image after gadolinium administration showing diffuse and intense enhancement of the enlarged quadriceps fat pad.

     
    Area of Interest: Musculoskeletal joint; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Education; Special Focus: Connective tissue disorders; Inflammation;
     
     
The quadriceps fat pad has a slightly decreased signal, with mass effect on the suprapatellar recess seen by a posterior convexity.
 
Coronal STIR image showing a hyperintensity of the quadriceps fat pad (green arrow)
 
Coronal T1 image showing a slight hypointensity of the quadriceps fat pad (green arrow)
 
Sagittally reformatted 3D FSE proton density weighted image with fat saturation (DP VISTA, Philips) showing hyperintensity of the quadriceps fat pad with mass effect on the suprapatellar recess as seen by a posterior convexity.
 
Axially reformatted 3D FSE proton density weighted image with fat saturation (DP VISTA, Philips) showing hyperintensity of the quadriceps fat pad with mass effect on the suprapatellar recess as seen by a posterior convexity.
 
Sagittal T1 fat saturated image after gadolinium administration showing diffuse and intense enhancement of the enlarged quadriceps fat pad.
 
 
 
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