Skin and Soft Tissue Infection (SSTI), shoulder, 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.
CB1126-Skin and Soft Tissue Infection (SSTI), shoulder, CT
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CB1126-Skin and Soft Tissue Infection (SSTI), shoulder, CT
Case ReportHistory
Exam
Findings
Findings
Lack of IV contrast material limits assessment for soft tissue infection.
Soft tissue edema within the hypodermis along with skin thickening about the entire right shoulder, right upper arm, and visualized portions of the right forearm. This edema extends down to the investing fascia.
Loss of normal fat planes and enlargement of the visualized trapezius muscle with ill-defined hypoenhancement containing internal locules of gas. This hypoenhancement extends into the adjacent hypodermis. In addition, there is loss of normal fat planes of the deltoid muscle with internal focal hypoattenuation containing a single locule of gas. These findings are consistent with myositis with associated abscess formation and/or necrotizing myositis.
No aggressive appearing periosteal reaction or osseous destruction to suggest osteomyelitis.
Small right pleural effusion. Multifocal patchy areas of opacity in the visualized right lung, suspicious for multifocal infection.
Mild acromioclavicular osteoarthritis.
Impression
Extensive surrounding hypodermal edema, consistent with cellulitis.
No CT evidence for osteomyelitis.
MRI would provide the next best test to further assess the extent of osseous and soft tissue infection if there is further clinical concern.
Probable multifocal infection within the visualized right lung.
