Demographics:
45 years old, Male
Indication:
Scrotal swelling
Findings
Lower chest
- Mild dependent left lower lobe atelectasis
- Scattered pulmonary micronodules
- Partially imaged cardiac rhythm maintenance device powerpack and electrode on the lower left chest wall
Abdomen/Pelvis
- No acute findings
- Mild hepatomegaly
- Cholelithiasis
- Bilateral adreniform thickening of the adrenal glands without discrete nodule
- Colonic diverticulosis
- Peripherally calcified structure in the left lower quadrant, which may represent a remote torsed epiploic appendage, sequela of epiploic appendagitis, or an area of remote calcified fat necrosis
- Minimal atherosclerotic calcification of the abdominal aorta and branch vessels without aneurysm
MSK
- Diffuse soft tissue edema and fat stranding with subcutaneous emphysema involving the right hemiscrotum extending superiorly into the right inguinal region
- Multiple enlarged bilateral inguinal lymph nodes, measuring up to 16 mm in short axis on the right
- Mild polyarticular degenerative changes
Diagnosis
Fournier gangrene
Sample Report
Findings concerning for Fournier gangrene involving the right hemiscrotum and extending into the right inguinal region. Recommend surgical evaluation.
Discussion