Date : 00.00.00
Name of the Patient : Abc Xyza Sullmn / M / 20 yrs.
Referred by : Dr. Abc Xyzni
Examination : M.R.I. of the Left Foot and Ankle.
CLINICAL PROFILE :
C/O swelling of the left foot with a haemorrhagic discharge (on and off) since 3 years.
Clinical diagnosis - actinomycosis.
M.R.I. of the left foot and ankle was performed using the following parameters :
5 mm thick T1 Weighted and T2 Weighted (with fat saturation) axial images.
4 mm thick T1 Weighted and STIR coronal images.
4 mm thick T1 Weighted and GRASS sagittal images.
There is evidence of swelling of the left foot. Hypointense signal on the T1 Weighted images is seen in the subcutaneous soft tissues on the dorsum of the left foot, laterally and in the midsegment of the sole of the left foot. This lesion appears hyperintense on the T2 Weighted and STIR images. The lesion on the dorsum of the foot appears to be a small collection of fluid/pus. There is an ill-marginated, intermediate signal intensity lesion on the T1 Weighted images (hyperintense to normal muscle on the T1 Weighted images) in the plantar group of muscles, which appears hyperintense on the T2 Weighted and STIR images. The lesion is seen to extend into the first interdigital space, superiorly and upto the subcutaneous fat and probably the skin surface, with an ulcer inferiorly. The plantar aponeurosis is most likely breached by this lesion.
The visualized bones of the left foot and ankle show normal alignment and signal intensity. No obvious bone destruction or erosion is evident.
Altered signal in the plantar group of muscles, with extensions as described, is most likely inflammatory in etiology. Altered signal in the subcutaneous tissues on the dorsal and the plantar aspect of the foot would suggest cellulitis. No obvious bony lesion is identified on this scan.