case_images: PMC7453252_01
case_images: Clinical photograph with red circle showing swelling in the right foot.
case_images: CRIOR2020-3189645.001.jpg
case_images: PMC7453252_01_CRIOR2020-3189645.001.jpg
case_images: fig1
case_images: Blood vessels were palpable (Figure 1).
case_images: Magnetic resonance image of the right foot, Sag T1 showing diffuse enlargement of the muscle, with increased signal intensity. The muscle fibers are intact.
case_images: CRIOR2020-3189645.002.jpg
case_images: PMC7453252_01_CRIOR2020-3189645.002.jpg
case_images: fig2
case_images: T2 of the abductor digiti minimi and flexor digitorum brevis, diffuse muscular edema in short T1 inverse recovery (STIR), and heterogeneous enhancement of post gadolinium with no wall enhancement. There were no bony changes. This MRI reading together with the clinical picture was indicative of acute muscle infarction, indicative of myonecrosis (Figures 2-5).
case_images: Short T1 inverse recovery (STIR) showing enlargement of the muscle with diffuse heterogeneous increase in signal intensity, with no drop of signal on fat-saturated image and normal signal intensity of the bone.
case_images: CRIOR2020-3189645.003.jpg
case_images: PMC7453252_01_CRIOR2020-3189645.003.jpg
case_images: fig3
case_images: T2 of the abductor digiti minimi and flexor digitorum brevis, diffuse muscular edema in short T1 inverse recovery (STIR), and heterogeneous enhancement of post gadolinium with no wall enhancement. There were no bony changes. This MRI reading together with the clinical picture was indicative of acute muscle infarction, indicative of myonecrosis (Figures 2-5).
case_images: Axial T2 showing abnormally high T2 signal intensity along the muscle fibers with involvement of the adjacent muscle (flexor digitorum brevis).
case_images: CRIOR2020-3189645.004.jpg
case_images: PMC7453252_01_CRIOR2020-3189645.004.jpg
case_images: fig4
case_images: T2 of the abductor digiti minimi and flexor digitorum brevis, diffuse muscular edema in short T1 inverse recovery (STIR), and heterogeneous enhancement of post gadolinium with no wall enhancement. There were no bony changes. This MRI reading together with the clinical picture was indicative of acute muscle infarction, indicative of myonecrosis (Figures 2-5).
case_images: Axial T1 images post contrast demonstrating ill-defined heterogeneous enhancement of the abductor digiti minimi muscle, with no wall (ring) enhancement.
case_images: CRIOR2020-3189645.005.jpg
case_images: PMC7453252_01_CRIOR2020-3189645.005.jpg
case_images: fig5
case_images: T2 of the abductor digiti minimi and flexor digitorum brevis, diffuse muscular edema in short T1 inverse recovery (STIR), and heterogeneous enhancement of post gadolinium with no wall enhancement. There were no bony changes. This MRI reading together with the clinical picture was indicative of acute muscle infarction, indicative of myonecrosis (Figures 2-5).