PMC6399751_01
Images from computed tomography scan of perineal region demonstrating foci of air along with an ill-defined region of peripheral hyperattenuation with central hypoattenuation consistent with focal infection/abscess in the area of noted perineal wound between scrotum and anus: (a) transverse plane, (b) coronal plane, and (c) sagittal plane.
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It demonstrated foci of air in the perineum and inferior scrotum consistent with FG (Figure 1).
Patient's bone marrow biopsy demonstrating hypercellularity greater than expected for age. Marked myeloid hyperplasia with left shift accounting for 85% of bone marrow cellularity. Maturing myeloid elements nearly absent. Maturing erythroid elements moderately to markedly decreased. Megakaryocytes markedly decreased. No significant lymphocytosis or plasmacytosis.
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As his peripheral smear was without myeloblasts, a bone marrow biopsy was performed (Figure 2).