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Muscle Edema -Recognizing Patterns and Associated Causes

Muscle Edema - Recognizing Patterns and Associated CausesHierl MS, MD, Yadavalli S, MD, PhD and Marcantonio D, MDBeaumont Health, Royal Oak, MIOakland University William Beaumont School of Medicine, MIDisclosuresThe authors do not have a financial relationship with acommercial organization that may have a direct or indirectinterest in the content. Educational review of Muscle Edema Patterns and distribution Emphasis on findings seen on magnetic resonance imaging (MRI) Correlate Muscle Edema Patterns with relevant clinical history Clinical data often helps in narrowing a differential or in making an accurate diagnosis Discuss relevance of other imaging modalities and usefulness of intravenous contrastGoals and ObjectivesIntroduction Muscle Edema is seen secondary to multiple etiologies i

Edema signal on MRI of the involved muscle groups • Elevated creatinine kinase (CK) levels • Signal intensity correlates with serum CK levels Delayed Onset Muscle Soreness A-C: Note extensive muscle edema (*) in patient who presented with severe pain and elevated CK levels 3 days after a 2 hour strenuous upper body work out A: Ax STIR * * *

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