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Pyomyositis

Pyomyositis

(A) Stage 2, pyomyositis in a 36-year-old immunosuppressed patient with an irregularly shaped, multiloculated, peripherally enhancing abscess within the posterior compartment of the proximal thigh on this T1 fat-saturated post-contrast image (arrows). Note the enhancement of the surrounding musculature consistent with infectious myositis (asterisk). Axial proton density with fat saturation at the same level.

(B) Reveals an abnormal area of increased signal intensity that corresponds to the abscess; however, it is less well defined (arrows). Increased signal is also noted in the adjacent muscle (asterisk).
From: Wasserman PL, Way A, Baig S, Gopireddy DR. MRI of myositis and other urgent muscle-related disorders. Emerg Radiol 2021; 28:409. Copyright © 2020 American Society of Emergency Radiology. Reproduced with permission from Springer Nature. https://link.springer.com/journal/10140.
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