Case Study: Dorsum of the Foot

How sharp are your POCUS skills? Test them out and see if you can solve the case study below.

A 45-year-old male presented to the clinic with complaint of pain, swelling, redness on the dorsum of the right foot for 5 days. The following ultrasound image was obtained while performing a soft tissue MSK ultrasound examination using a high frequency linear transducer and the soft tissue MSK preset.

What is the most likely diagnosis?

A. Hematoma
B. Cellulitis
C. Abscess

 

 

 

 

 

 

Answer

Soft tissue B-mode ultrasound image shows evidence of soft tissue swelling, anechoic fluid with a classic cobblestone pattern. There is no evidence of an abscess. Echogenic bony landmarks seen with dense acoustic shadow in the far field.

 

References:

  1. https://radiopaedia.org/cases/cellulitis-sonographic-cobblestone-appearance-1?lang=us

 

 


Test your knowledge of POCUS of Musculoskeletal Soft Tissue with this knowledge check!