Cellulitis
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Advanced Imaging of the Diabetic Foot and Its Complications
Copyright © 1999 T. Learch, A. Gentili. All rights reserved.
Revised: November 16, 2004.

Edema and inflammation of soft tissues is the most common MR imaging finding in the diabetic foot demonstrated by increased signal changes seen on T2 and STIR sequences. Areas of soft tissue edematous change are frequently seen in the plantar forefoot just deep to the plantar aponeurosis and in the dorsum of the foot. These findings do not always correlate with inflammation and cellulitis and may be incidentally seen in patients who do not have clinical suspicion of infection in these areas. The likely cause of these findings may be nonspecific edematous change and cardiogenic in nature. The identification of cellulitic change however remains important as theses areas do need to be scrutinized carefully for foreign bodies, ulcers, abscesses, and osteomyelitis.

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58-year-old-man with diabetes. Shorts axis STIR and sagittal T1 weighted images of the right foot demonstate edema in the soft tissue of the dorsum of the foot, but normal bone marrow signal in the underlying bones.

 

 
Advanced Imaging of the Diabetic Foot and Its Complications
Copyright © 1999 T. Learch, A. Gentili. All rights reserved.
Revised: November 14, 2000.

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Advanced Imaging of the Diabetic Foot and Its Complications
Copyright © 1999 T. Learch, A. Gentili. All rights reserved.
Revised: April 29, 2006.
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