整形9

【臨床症状】10代 スポーツ中に下肢痛

【問題】画像所見と診断名は?

50037340_2022_04_30_MR_Image002
50037340_2022_04_30_MR_Image003
50037340_2022_04_30_MR_Image004
50037340_2022_04_30_MR_Image005
50037340_2022_04_30_MR_Image006
50037340_2022_04_30_MR_Image007
50037340_2022_04_30_MR_Image008
50037340_2022_04_30_MR_Image009
50037340_2022_04_30_MR_Image010
50037340_2022_04_30_MR_Image011
50037340_2022_04_30_MR_Image012
50037340_2022_04_30_MR_Image013
50037340_2022_04_30_MR_Image014
50037340_2022_04_30_MR_Image015
50037340_2022_04_30_MR_Image016
50037340_2022_04_30_MR_Image017
50037340_2022_04_30_MR_Image018
50037340_2022_04_30_MR_Image019
50037340_2022_04_30_MR_Image020
50037340_2022_04_30_MR_Image021
50037340_2022_04_30_MR_Image022
50037340_2022_04_30_MR_Image023
50037340_2022_04_30_MR_Image024
50037340_2022_04_30_MR_Image048
50037340_2022_04_30_MR_Image047
50037340_2022_04_30_MR_Image046
50037340_2022_04_30_MR_Image045
50037340_2022_04_30_MR_Image044
50037340_2022_04_30_MR_Image043
50037340_2022_04_30_MR_Image042
50037340_2022_04_30_MR_Image041
50037340_2022_04_30_MR_Image040
50037340_2022_04_30_MR_Image039
50037340_2022_04_30_MR_Image038
50037340_2022_04_30_MR_Image037
50037340_2022_04_30_MR_Image036
50037340_2022_04_30_MR_Image035
50037340_2022_04_30_MR_Image034
50037340_2022_04_30_MR_Image033
50037340_2022_04_30_MR_Image032
50037340_2022_04_30_MR_Image031
50037340_2022_04_30_MR_Image030
50037340_2022_04_30_MR_Image029
50037340_2022_04_30_MR_Image028
50037340_2022_04_30_MR_Image027
50037340_2022_04_30_MR_Image026
50037340_2022_04_30_MR_Image025
50037340_2022_04_30_MR_Image072
50037340_2022_04_30_MR_Image071
50037340_2022_04_30_MR_Image070
50037340_2022_04_30_MR_Image069
50037340_2022_04_30_MR_Image068
50037340_2022_04_30_MR_Image067
50037340_2022_04_30_MR_Image066
50037340_2022_04_30_MR_Image065
50037340_2022_04_30_MR_Image064
50037340_2022_04_30_MR_Image063
50037340_2022_04_30_MR_Image062
50037340_2022_04_30_MR_Image061
50037340_2022_04_30_MR_Image060
50037340_2022_04_30_MR_Image059
50037340_2022_04_30_MR_Image058
50037340_2022_04_30_MR_Image057
50037340_2022_04_30_MR_Image056
50037340_2022_04_30_MR_Image055
50037340_2022_04_30_MR_Image054
50037340_2022_04_30_MR_Image053
50037340_2022_04_30_MR_Image052
50037340_2022_04_30_MR_Image051
50037340_2022_04_30_MR_Image050
50037340_2022_04_30_MR_Image049
50037340_2022_04_30_MR_Image096
50037340_2022_04_30_MR_Image095
50037340_2022_04_30_MR_Image094
50037340_2022_04_30_MR_Image093
50037340_2022_04_30_MR_Image092
50037340_2022_04_30_MR_Image091
50037340_2022_04_30_MR_Image090
50037340_2022_04_30_MR_Image089
50037340_2022_04_30_MR_Image088
50037340_2022_04_30_MR_Image087
50037340_2022_04_30_MR_Image086
50037340_2022_04_30_MR_Image085
50037340_2022_04_30_MR_Image084
50037340_2022_04_30_MR_Image083
50037340_2022_04_30_MR_Image082
50037340_2022_04_30_MR_Image081
50037340_2022_04_30_MR_Image080
50037340_2022_04_30_MR_Image079
50037340_2022_04_30_MR_Image078
50037340_2022_04_30_MR_Image077
50037340_2022_04_30_MR_Image076
50037340_2022_04_30_MR_Image075
50037340_2022_04_30_MR_Image074
50037340_2022_04_30_MR_Image073
50037340_2022_04_30_MR_Image120
50037340_2022_04_30_MR_Image119
50037340_2022_04_30_MR_Image118
50037340_2022_04_30_MR_Image117
50037340_2022_04_30_MR_Image116
50037340_2022_04_30_MR_Image115
50037340_2022_04_30_MR_Image114
50037340_2022_04_30_MR_Image113
50037340_2022_04_30_MR_Image112
50037340_2022_04_30_MR_Image111
50037340_2022_04_30_MR_Image110
50037340_2022_04_30_MR_Image109
50037340_2022_04_30_MR_Image108
50037340_2022_04_30_MR_Image107
50037340_2022_04_30_MR_Image106
50037340_2022_04_30_MR_Image105
50037340_2022_04_30_MR_Image104
50037340_2022_04_30_MR_Image103
50037340_2022_04_30_MR_Image102
50037340_2022_04_30_MR_Image101
50037340_2022_04_30_MR_Image100
50037340_2022_04_30_MR_Image099
50037340_2022_04_30_MR_Image098
50037340_2022_04_30_MR_Image097
 

※冠状断は脂肪抑制、横断像はT2WI、T1WI、脂肪抑制、T2*の順に表示

    ▶答えはこちら
    • 右大腿直筋に脂肪抑制画像で高信号を認め、その中に内部が低信号な腫瘤影あり
    • 腫瘤影はT1WIでやや高信号を認め、T2*では低信号(一部等信号)より、大腿直筋の筋損傷と血種を疑う所見
    • 他、骨折などの所見は無し
    • 大腿筋損傷に伴う筋内血種と診断された
    上段左からT2WI、T1WI、下段左からT2脂肪抑制、T1脂肪抑制