PMC5894325_01
(A) Plain radiography of foot (lateral view) of 56 year old male depicting soft tissue thickening along dorsal and plantar aspect. (B) CT lateral view of foot showing presence of gas in metatarsal, tarsal bones (white arrow), phalanges and in soft tissues (blue arrow). (C) CT axial view of both feet depicting presence of intraosseous gas in metetarsal, tarsal bones (white arrow) and in soft tissues. (D) CT axial view of metatarsal bones depicting intraosseous gas (white arrow) and gas in soft tissues (red arrow)
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F1
Possibility of emphysematous osteomyelitis with necrotizing fasciitis was considered and the patient was urgently planned for bilateral below ankle amputation [Figure 1A-D].
PMC5894325_02
(A) Plain radiograph of pelvis AP view depicting no significant abnormality. (B) CT axial of hip joint showing presence of intraosseous gas in left acetabulum (white arrow) and ill-defined hypodense areas in periarticular muscles of left hip joint (blue arrow) (C) CT axial view of pelvis depicting few air locules in left iliac blade (white arrow)
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F2
Multiple air locules were noted in the left iliac blade and acetabulum with multiple ill-defined hypodense areas in periarticular muscles of left hip joint with surrounding fat stranding [Figure 2A-C].