Imaging features of spotter 06
T2 FS or STIR
fascial thickening ≥3 mm and hyperintensity, starting in the superficial fascia and often involving deep intramuscular fascia in multiple compartments
subfascial and interfascial fluid collections
low signal foci of gas
subcutaneous edema, although commonly seen with cellulitis as well
T1
subtle loss of muscle texture and possible high signal intensity compatible with intramuscular hemorrhage
low signal foci of gas
T1 C+ (Gd)
variable fascial contrast enhancement: increased early due to capillary permeability
Final dx
Necrotizing fascitis
Ddx
Cellulitis
Edema
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