File:Adventitious bursitis (Radiopaedia 55154-61528 C 15).png

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Adventitious_bursitis_(Radiopaedia_55154-61528_C_15).png ‎(644 × 448 pixels, file size: 108 KB, MIME type: image/png)

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Description
  • Radiopaedia case ID: 55154
  • Image ID: 32252509
  • Image stack position: 15/32
  • Plane projection: Sagittal
  • Aux modality: PD FS Dixon
  • Study description: Left Foot MRI
  • Study findings: Well defined subcutaneous mass measuring 27 x 8 x 26 mm, showing intermediate T1 and increased T2 signal, located directly under the first metatarsophalangeal joint. A tiny focal skin breach in continuity with this lesion may represent the mentioned ulcer. There are degenerative changes of the first metatarsophalangeal joint, with joint narrowing, subcortical cyst, and a small amount of joint effusion. The capsuloligamentous complex of this joint is intact, with no extension of the subcutaneous mass lesion/inflammatory process to the joint. The remainder of the foot demonstrates diffuse muscular atrophy, but no relevant findings for this clinical scenario.
  • Modality: MRI
  • System: Musculoskeletal
  • Findings: Prominent soft tissue swelling adjacent to the first metatarsophalangeal joint. There is no adjacent periostitis or cortical erosion to indicate establish osteomyelitis. Deformity of the head of the first metatarsal with loss of joint space is likely related to degenerative changes. If there is an ongoing clinical concern for osteomyelitis, a further assessment with either bone scan or MRI is recommended.
Date Published: 1st Nov 2017
Source https://radiopaedia.org/cases/adventitious-bursitis
Author Bruno Di Muzio
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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Date/TimeThumbnailDimensionsUserComment
current12:28, 27 April 2021Thumbnail for version as of 12:28, 27 April 2021644 × 448 (108 KB)FæRadiopaedia project rID:55154 (batch #1446-79 C15)

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