Presentation is loading. Please wait.

Presentation is loading. Please wait.

Mycobacterial pseudotumor of the plantar fascia: how common is it?

Similar presentations


Presentation on theme: "Mycobacterial pseudotumor of the plantar fascia: how common is it?"— Presentation transcript:

1 Mycobacterial pseudotumor of the plantar fascia: how common is it?
Panagiotis A. Sideras, Sherif Heiba, Josef Machac, Jaclyn Hechtman, Sridhar Vatti  Clinical Imaging  Volume 37, Issue 4, Pages (July 2013) DOI: /j.clinimag Copyright © Terms and Conditions

2 Fig. 1 (A) Maximal intensity projection image in dual In-111-WBC window/Tc-99m HDP showing intense uptake in the posterolateral aspect of the right malleolus and diffusely over the midfoot; (B) plantar view in In-111-WBC window of the feet demonstrate mild uptake in the bases of the medial metatarsal (orange arrow), whereas mild uptake is also demonstrated in the ventral and lateral aspects of the right foot; (C) plantar aspect of feet in Tc-99m window demonstrate more intense uptake in the bases of medial metatarsals. Clinical Imaging  , DOI: ( /j.clinimag ) Copyright © Terms and Conditions

3 Fig. 2 (A) Sagittal view of the right foot demonstrating the area of intense uptake in the soft tissue on the posterolateral aspects of the lateral malleolar area in In-111-WBC window (red arrows). The white arrows represent tarsal uptake and soft tissue uptake in the ventral aspect of the foot. (B) The corresponding image in the Tc-99m/sulfur colloid window demonstrate mismatch of uptake in the same area suggestive of abscess. Clinical Imaging  , DOI: ( /j.clinimag ) Copyright © Terms and Conditions

4 Fig. 3 (A) Contrast-enhanced CT axial images of the right foot demonstrating heterogeneously enhancing lobulated masses in the plantar and lateral aspect of the right foot (white arrows). The black arrows represent bone erosions that were correlated by Tc-99m sulfur colloid single-photon emission tomography to neuropathic changes. (B) Sagittal image of the right foot demonstrating the extent of abscess around the lateral malleolus extending up to the distal leg. Clinical Imaging  , DOI: ( /j.clinimag ) Copyright © Terms and Conditions

5 Fig. 4 Image (A) shows sheets of spindled cells. [Hematoxylin eosin (HE), magnification ×4.] Image (B) shows a high power of the epithelioid histiocytes with abundant pink cytoplasm, bland spindled nuclei, and interspersed mixed inflammation including neutrophils and lymphocytes (HE, magnification ×400). Image (C) shows a positive stain for acid-fast bacilli, which are abundant in number and located within the spindled macrophages (AFB, magnification ×400). Clinical Imaging  , DOI: ( /j.clinimag ) Copyright © Terms and Conditions


Download ppt "Mycobacterial pseudotumor of the plantar fascia: how common is it?"

Similar presentations


Ads by Google