Table 1: Ultrasound and magnetic resonance imaging.
Region | Ultrasonography Nuclear | Nuclear magnetic resonance |
Right thigh | Subcutaneous infiltrative edema in the distal third. Presence of collection/abscess in third distal of anterior and medial thigh, measuring respectively 4.2 × 0.8 cm and 4.0 × 1.8 cm. | Collection involving vast intermediate and lateral 3.8 × 0.8 cm in axial axes presenting wide margin and contour with femoral cortical but without signs of periosteal reaction. No joint effusion. |
Right knee | Lateral compartment presenting at least two hypoechoic collections, measuring 2.7 × 0.4 cm and the other (super - lateral) measuring about 1.3 × 0.8 cm. Venous Doppler: Absence of images compatible with deep or superficial thrombosis in the lower right limb. | Collections with partially defined limits with intramuscular component in the distal aspect of the vast intermediate 4.2 × 1.8 × 0.9 cm with apparent communication with the joint capsule and extension for subcutaneous planes. |
Right upper limb | Subcutaneous infiltrative edema in the elbow region and posterior face of the forearm. Large abscess in the olecranon fossa. | Right Elbow
Poorly defined collections of inflammatory aspects with hyposignal T1 and hypersignal T2, located in myoadiposal planes, involving the biceps and triceps brachii muscles, the largest one measuring 7.4 × 3.6 × 1 cm with intense contrast enhancement. |
Left thigh | Subcutaneous infiltrative edema. | Inflammatory/infectious appearance collections in myoadiposal planes exhibiting intense post-contrast parietal enhancement:
- Vast lateral and intermediate: Measuring 4.5 × 2.1 cm with intramuscular extension. - Medial and rectus femoris: Two juxtaposed and confluent collections measuring 2.8 × 0.8 cm. |
Left hip | Important edematous/inflammatory subcutaneous infiltrate, without significant collection. | Inflammatory/infectious appearance collections in myoadiposal planes exhibiting intense post-contrast parietal enhancement:
- Maximum and average gluteus measuring 8.9 × 7.7 × 3.7 cm (13 ml). - Adductor magno 5 × 1.7 × 1.6 cm (7 ml). |
Left leg | Subcutaneous infiltrative edema in the posterior face of the leg. Distal third of the medial gastrocnemius presenting collection/abscess measuring around 4.1 × 1.2 cm. | Inflammatory/infectious appearance collections in myoadiposal planes exhibiting intense post-contrast parietal enhancement.
- Soleus: Two small collections poorly defined 0.5 × 0.3 cm and 0.6 × 0.5 cm. - Tibial anterior: 1.1 × 0.4 cm. |
Left upper limb | Subcutaneous infiltrative edema in the elbow region and anteromedial face of the forearm. | Left elbow
Net collection of well-defined margins, located at the transition between the subcutaneous planes and the pronator round muscle, measuring 2.8 × 2.3 × 0.9 cm showing peripheral enhancement after contrast infusion. |
Transthoracic echocardiography | Within the normality. | Unrealized. |
Source: Patient record.