File:Bilateral psoas hematomas (Radiopaedia 24057-24280 T1 34).jpg

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Summary:

Description
  • Radiopaedia case ID: 24057
  • Image ID: 4296192
  • Image stack position: 34/39
  • Aux modality: T1
  • Study findings: Within the left psoas muscle there is a loculated mass extending from the L3 level to the pelvis, measuring 10 x 3.5 x 3cm. This demonstrates intrinsic peripheral high T1 signal, low internal T2 signal with post contrast rim enhancement. There is no internal enhancement.  There is extension laterally of a component into quadratus lumborum. Within the right psoas muscle there is a smaller lesion of the similar signal characteristics measuring 1.1 x 1.2 x 2.3cm (at L4-5 level). Gas-containing collection anterior to the uterus, preseumbly post-operative is seen on prior CT. Incidental note of left ovarian cystic lesion. Conclusion: Findings in keeping with bilateral subacute psoas hematomas, larger on the left.  No specific features of superinfection.  High clinical suspicion may prompt percutaneous aspiration.
  • Modality: MRI
  • System: Musculoskeletal
  • Findings: Marked enlargement of the iliopsoas muscles on the left is now apparent with heterogeneity. This may represent a developing psoas abscess though if the patient is anticoagulated, a hemorrhage into the muscles is also a possibility. The fluid collection previously identified just superior to the dome of the bladder adjacent to the sigmoid colon. Small fluid collection related to the midline abdominal incision superior to the umbilicus
Date Published: 26th Jul 2013
Source https://radiopaedia.org/cases/bilateral-psoas-haematomas
Author Henry Knipe
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

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

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current17:31, 13 June 2021Thumbnail for version as of 17:31, 13 June 20211,733 × 1,733 (643 KB)Fæ (talk | contribs)Radiopaedia project rID:24057 (batch #4299-34 A34)

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