EURORAD ESR

Case 14781

Hidradenitis suppurativa: Anogenital disease

Author(s)
Madalena Ramalho, António Costa, Tiago Rodrigues, João Leitão, José Fonseca Santos

Hospital de Santa Maria,
Centro Hospitalar Lisboa Norte,
Serviço de Radiologia;
Av. Professor Egas Moniz
1649-035 Lisboa, Portugal;
Email:madalenaramalho@ymail.com
 
Patient
male, 33 year(s)
 
 
  • Figure 1
    MRI
     

    Coronal T2-weighted images obtained through the anal canal and natal cleft shows oedema of subcutaneous tissues with skin thickening of high signal intensity.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal T2-weighted images obtained through the anal canal and natal cleft with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    MRI
     

    Axial T1-weighted MR image obtained through upper thigh shows skin thickening and induration of low signal intensity.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2-weighted MR image obtained through upper thigh shows skin thickening of high signal intensity.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2-weighted MR image obtained through upper thigh with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    MRI
     

    Sagittal T2-weighted MR image obtained through the natal cleft depicting a fistulous tract in the subcutaneous tissues.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal T2-weighted MR image obtained through the natal cleft with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity and a fistulous tract in the subcutaneous tissues.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    MRI
     

    Oblique axial T1-weighted MR image obtained through the natal cleft and buttocks with fat saturation before IV contrast administration depicting areas of indurated and thickened skin (arrows and ellipse).

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Oblique axial T1-weighted MR image obtained with fat saturation after IV contrast administration shows rounded areas of rim enhancement in the left buttock consistent with abscesses (arrows).

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Abscess;

    Oblique axial T1-weighted MR image obtained through the natal cleft and buttocks with fat saturation after IV contrast administration shows marked enhancement of indurated and thickened skin and inflammatory stranding...

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;

    Oblique axial T1-weighted MR image obtained with fat saturation after IV contrast administration shows an elongated area of rim enhancement in the right buttock and natal cleft consistent with a fistulous tract...

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 5
    MRI
     

    Axial T1-weighted MR image obtained through upper thigh showing bilateral inguinal adenopathies.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial T2-weighted MR image obtained through upper thigh showing bilateral inguinal adenopathies with high signal.

     
    Area of Interest: Soft tissues / Skin; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Coronal T2-weighted images obtained through the anal canal and natal cleft shows oedema of subcutaneous tissues with skin thickening of high signal intensity.
 
Coronal T2-weighted images obtained through the anal canal and natal cleft with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity.
 
Axial T1-weighted MR image obtained through upper thigh shows skin thickening and induration of low signal intensity.
 
Axial T2-weighted MR image obtained through upper thigh shows skin thickening of high signal intensity.
 
Axial T2-weighted MR image obtained through upper thigh with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity.
 
Sagittal T2-weighted MR image obtained through the natal cleft depicting a fistulous tract in the subcutaneous tissues.
 
Sagittal T2-weighted MR image obtained through the natal cleft with fat saturation shows oedema of subcutaneous tissues with skin thickening of high signal intensity and a fistulous tract in the subcutaneous tissues.
 
Oblique axial T1-weighted MR image obtained through the natal cleft and buttocks with fat saturation before IV contrast administration depicting areas of indurated and thickened skin (arrows and ellipse).
 
Oblique axial T1-weighted MR image obtained with fat saturation after IV contrast administration shows rounded areas of rim enhancement in the left buttock consistent with abscesses (arrows).
 
Oblique axial T1-weighted MR image obtained through the natal cleft and buttocks with fat saturation after IV contrast administration shows marked enhancement of indurated and thickened skin and inflammatory stranding of subcutaneous tissues.
 
Oblique axial T1-weighted MR image obtained with fat saturation after IV contrast administration shows an elongated area of rim enhancement in the right buttock and natal cleft consistent with a fistulous tract (orange line).
 
Axial T1-weighted MR image obtained through upper thigh showing bilateral inguinal adenopathies.
 
Axial T2-weighted MR image obtained through upper thigh showing bilateral inguinal adenopathies with high signal.
 
 
 
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