Skin and Soft Tissue Infection (SSTI), calf, CT
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1127-Skin and Soft Tissue Infection (SSTI), calf, CT
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CB1127-Skin and Soft Tissue Infection (SSTI), calf, CT
Case ReportHistory
Exam
Findings
Findings
Evaluation for soft tissue infection is limited in the absence of IV contrast material.
Extensive soft tissue edema and skin thickening about the entirety of the visualized distal right thigh and entire right calf. Findings are asymmetric compared to the visualized portions of the contralateral lower extremity. Edema within the hypodermis extends down to the investing fascia. No evidence for thickening of the intermuscular fascia.
Focal subtle hypoattenuation along the anterior shin measuring approximately 4.5 x 2.8 cm.
Mild obscuration of fat planes of the anterior and lateral calf compartment muscles, consistent with reactive or infectious myositis.
No aggressive appearing periosteal reaction or osseous destruction to suggest osteomyelitis.
No joint effusion within the knee or ankle.
Tricompartmental osteoarthritis at the knee. Locule of gas in the knee joint space, presumably vacuum phenomenon. Osseous changes about the tibiotalar joint are chronic. Mild muscular fatty atrophy.
Impression
Focal hypoattenuation in the soft tissues of the anterior shin may reflect suppuration, abscess, or necrotic tissue.
No soft tissue gas or other positive findings of necrotizing soft tissue infection, though this remains a clinical diagnosis.
Reactive or infectious myositis involving the anterior and lateral compartments of the calf.
No CT evidence for osteomyelitis.
