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Magnetic Resonance Evaluation of Disease of the Soft Tissues in Children

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Figure

Fig 2.Osteomyelitisofcalcaneus.Top,Plainfilmradio-graphappearsnormal.Bottomleft,MagneticresonanceTE-30TR-500imagetakensamedayidentifiesextensiveabnormality.Thereis markedswellingofsofttissuesoflateralaspectoffoot,andmarkedreductionofsignalfromfatwithlossofnormalsharplydefinedinterfacebetweensubcutaneousfatandadjacentmuscle.Softtis-sueabnormalitybetweenfatandboneis identifiedasill-definedregionof swellingof intermediateintensity.Mar-ginsofcalcaneusarepoorlydefined,andthereis markedreductioninsignalintensityfromcalcaneus.Infectioninvolvescalcaneus,overlyingmusclelayer,andadjacentsubcutaneousfat.Bottomright,Oppositenormalfootshownforcomparison.
Fig 3.Ewingsarcomaofleftiliacbone.Coronalmag-neticresonanceimageobtainedwithTE30andTR500.Thereis a largesofttissuemass(M)withsharplydefinedmargins.Bladder(B)is displacedby tumormass.Lossofsignalfromnormalbonemarrowiniliacbone(arrow)indicatestumormassis involvingadjacentbone.Normalmarrowin iliacboneof oppositesidehasstrongintensitysignal.

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