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Foreign Body Granuloma with Abscess | Fish Bone | Ultrasound || Case 285

Clinical Features:
A 55 years old female patient came with
- Painful foot swelling
- H/o fish bone impaction


Ultrasound Features:
- A small linear echogenic structure of about 10mm in length is seen within a hypoechoic collection along with debris bounded by a thick irregular margin and surrounding fat plane irregularity at the ventral aspect of the foot below the calcaneum, 3mm deep from the skin surface.
- Color Doppler shows increased perilesional vascularity.

Remember:
When you see an abscess cavity, don’t forget to see underlying bone surface irregularity and/or communication with the bone.

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