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Dorsum of the Foot

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 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

 

 

 

 

 

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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.

Reference

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


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