MR imaging and ultrasonography findings of early myositis ossificans: a case report
Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However,...
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description | Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to correctly diagnose early MO because it can mimic malignancy clinically, radiologically, and histopathologically. We report a case of early pseudosarcomatous phase of non-traumatic MO with atypical imaging findings. A 59-year-old woman presented with pain followed by a mass in the left thigh within a week. MR imaging and ultrasonography showed an intramuscular lesion with preserved muscle fascicles in the vastus lateralis muscle. Intralesional ossification or calcification was not seen on ultrasonography. A diagnosis of myositis ossificans was made by ultrasonographically guided biopsy. |
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MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to correctly diagnose early MO because it can mimic malignancy clinically, radiologically, and histopathologically. We report a case of early pseudosarcomatous phase of non-traumatic MO with atypical imaging findings. A 59-year-old woman presented with pain followed by a mass in the left thigh within a week. MR imaging and ultrasonography showed an intramuscular lesion with preserved muscle fascicles in the vastus lateralis muscle. Intralesional ossification or calcification was not seen on ultrasonography. A diagnosis of myositis ossificans was made by ultrasonographically guided biopsy.</description><identifier>ISSN: 0364-2348</identifier><identifier>EISSN: 1432-2161</identifier><identifier>DOI: 10.1007/s00256-016-2441-4</identifier><identifier>PMID: 27511030</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Case Report ; Diagnosis ; Diagnosis, Differential ; Disease Progression ; Early Diagnosis ; Female ; Humans ; Imaging ; Magnetic resonance imaging ; Magnetic Resonance Imaging - methods ; Medicine ; Medicine & Public Health ; Middle Aged ; Myositis ; Myositis Ossificans - diagnostic imaging ; Myositis Ossificans - pathology ; Nuclear Medicine ; Orthopedics ; Pathology ; Quadriceps Muscle - diagnostic imaging ; Quadriceps Muscle - pathology ; Radiology ; Ultrasonography - methods ; Ultrasound imaging</subject><ispartof>Skeletal radiology, 2016-10, Vol.45 (10), p.1413-1417</ispartof><rights>ISS 2016</rights><rights>COPYRIGHT 2016 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c472t-d798a2555ef5fe3d2c1539cebbf50199e87c13a2e13ce2dfce7dd294769b03b43</citedby><cites>FETCH-LOGICAL-c472t-d798a2555ef5fe3d2c1539cebbf50199e87c13a2e13ce2dfce7dd294769b03b43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00256-016-2441-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00256-016-2441-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27926,27927,41490,42559,51321</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27511030$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee, Kyung Ryeol</creatorcontrib><creatorcontrib>Park, So Young</creatorcontrib><creatorcontrib>Jin, Wook</creatorcontrib><creatorcontrib>Won, Kyu Yeoun</creatorcontrib><title>MR imaging and ultrasonography findings of early myositis ossificans: a case report</title><title>Skeletal radiology</title><addtitle>Skeletal Radiol</addtitle><addtitle>Skeletal Radiol</addtitle><description>Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to correctly diagnose early MO because it can mimic malignancy clinically, radiologically, and histopathologically. We report a case of early pseudosarcomatous phase of non-traumatic MO with atypical imaging findings. A 59-year-old woman presented with pain followed by a mass in the left thigh within a week. MR imaging and ultrasonography showed an intramuscular lesion with preserved muscle fascicles in the vastus lateralis muscle. Intralesional ossification or calcification was not seen on ultrasonography. A diagnosis of myositis ossificans was made by ultrasonographically guided biopsy.</description><subject>Case Report</subject><subject>Diagnosis</subject><subject>Diagnosis, Differential</subject><subject>Disease Progression</subject><subject>Early Diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Imaging</subject><subject>Magnetic resonance imaging</subject><subject>Magnetic Resonance Imaging - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Myositis</subject><subject>Myositis Ossificans - diagnostic imaging</subject><subject>Myositis Ossificans - pathology</subject><subject>Nuclear Medicine</subject><subject>Orthopedics</subject><subject>Pathology</subject><subject>Quadriceps Muscle - diagnostic imaging</subject><subject>Quadriceps Muscle - pathology</subject><subject>Radiology</subject><subject>Ultrasonography - methods</subject><subject>Ultrasound imaging</subject><issn>0364-2348</issn><issn>1432-2161</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkUtr3TAQhUVpaW7T_oBuiqCbbpzqacndhdAXJATSdi1keeQq2NKtZC_uv6_MTZ80ULQQzHxnmDkHoeeUnFFC1OtCCJNtQ2jbMCFoIx6gHRWcNYy29CHaEd6KhnGhT9CTUm4JoUrJ9jE6YUpSSjjZoU9XNzjMdgxxxDYOeJ2WbEuKacx2__WAfYhD7RWcPAabpwOeD6mEJdRKKcEHZ2N5gy12tgDOsE95eYoeeTsVeHb3n6Iv795-vvjQXF6__3hxftk4odjSDKrTlkkpwUsPfGCOSt456HsvCe060MpRbhlQ7oAN3oEaBtYJ1XY94b3gp-jVce4-p28rlMXMoTiYJhshrcVQzVTHiZDtf6BU1U2UlhV9-Rd6m9Yc6yEb1WqitWa_qNFOYEL0qfrmtqHmXPHqrei4qtTZP6j6BpiDSxF8qPU_BPQocLnam8Gbfa7x5IOhxGyZm2PmpmZutszNZsOLu4XXfobhp-JHyBVgR6DUVhwh_3bRvVO_A_8ltE0</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Lee, Kyung Ryeol</creator><creator>Park, So Young</creator><creator>Jin, Wook</creator><creator>Won, Kyu Yeoun</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FG</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ARAPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P5Z</scope><scope>P62</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20161001</creationdate><title>MR imaging and ultrasonography findings of early myositis ossificans: a case report</title><author>Lee, Kyung Ryeol ; Park, So Young ; Jin, Wook ; Won, Kyu Yeoun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c472t-d798a2555ef5fe3d2c1539cebbf50199e87c13a2e13ce2dfce7dd294769b03b43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Case Report</topic><topic>Diagnosis</topic><topic>Diagnosis, Differential</topic><topic>Disease Progression</topic><topic>Early Diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Imaging</topic><topic>Magnetic resonance imaging</topic><topic>Magnetic Resonance Imaging - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Myositis</topic><topic>Myositis Ossificans - diagnostic imaging</topic><topic>Myositis Ossificans - pathology</topic><topic>Nuclear Medicine</topic><topic>Orthopedics</topic><topic>Pathology</topic><topic>Quadriceps Muscle - diagnostic imaging</topic><topic>Quadriceps Muscle - pathology</topic><topic>Radiology</topic><topic>Ultrasonography - methods</topic><topic>Ultrasound imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Kyung Ryeol</creatorcontrib><creatorcontrib>Park, So Young</creatorcontrib><creatorcontrib>Jin, Wook</creatorcontrib><creatorcontrib>Won, Kyu Yeoun</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medicine (ProQuest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Advanced Technologies & Aerospace Database (1962 - current)</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Biological Science Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest Biological Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Skeletal radiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Kyung Ryeol</au><au>Park, So Young</au><au>Jin, Wook</au><au>Won, Kyu Yeoun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>MR imaging and ultrasonography findings of early myositis ossificans: a case report</atitle><jtitle>Skeletal radiology</jtitle><stitle>Skeletal Radiol</stitle><addtitle>Skeletal Radiol</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>45</volume><issue>10</issue><spage>1413</spage><epage>1417</epage><pages>1413-1417</pages><issn>0364-2348</issn><eissn>1432-2161</eissn><abstract>Myositis ossificans (MO) is a benign soft tissue lesion with non-neoplastic heterotopic bone formation. MO in the intermediate and mature stages can be easily diagnosed if characteristic imaging findings such as a peripheral zonal pattern of ossification with variable thickness is observed. However, it is difficult to correctly diagnose early MO because it can mimic malignancy clinically, radiologically, and histopathologically. We report a case of early pseudosarcomatous phase of non-traumatic MO with atypical imaging findings. A 59-year-old woman presented with pain followed by a mass in the left thigh within a week. MR imaging and ultrasonography showed an intramuscular lesion with preserved muscle fascicles in the vastus lateralis muscle. Intralesional ossification or calcification was not seen on ultrasonography. A diagnosis of myositis ossificans was made by ultrasonographically guided biopsy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27511030</pmid><doi>10.1007/s00256-016-2441-4</doi><tpages>5</tpages></addata></record> |
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subjects | Case Report Diagnosis Diagnosis, Differential Disease Progression Early Diagnosis Female Humans Imaging Magnetic resonance imaging Magnetic Resonance Imaging - methods Medicine Medicine & Public Health Middle Aged Myositis Myositis Ossificans - diagnostic imaging Myositis Ossificans - pathology Nuclear Medicine Orthopedics Pathology Quadriceps Muscle - diagnostic imaging Quadriceps Muscle - pathology Radiology Ultrasonography - methods Ultrasound imaging |
title | MR imaging and ultrasonography findings of early myositis ossificans: a case report |
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