OCAD MSK

History

60F 3 weeks calf pain, suspect DVT

Figure 1 for case medial head of gastrocnemius muscle ( RID2921 ) — Figure 1

Figure 2 for case medial head of gastrocnemius muscle ( RID2921 ) — Figure 2

Figure 3 for case medial head of gastrocnemius muscle ( RID2921 ) — Figure 3

Figure 4 for case medial head of gastrocnemius muscle ( RID2921 ) — Figure 4

Figure 5 for case medial head of gastrocnemius muscle ( RID2921 ) — Figure 5

Discussion

No DVT. Very subtle subacute full thickness tear at the distal myotendinous junction of the medial head gastrocnemius with 1.5 cm retraction at the tear and mild muscle edema. There is a subacute hematoma in the intermuscular fat planes (outlined in yellow) which is almost isointense to muscle, with a dark rim on ax T2FS and peripheral bright rim on T1. Easy to miss. Reference article.

Diagnosis

medial head of gastrocnemius muscle ( RID2921 )

Hilary Umans, MD

Courtesy

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