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Imaging recommendation · Musculoskeletal

Soft tissue infection with concern for abscess

Recommended: Soft tissue Ultrasound is the preferred imaging study for soft tissue infection with concern for abscess. US is first-line for fluid collection and guidance of drainage.

Recommended study

Soft tissue Ultrasound

US No contrast Preferred Musculoskeletal EmergencyAcute inpatientOutpatient Reviewed

US is first-line for fluid collection and guidance of drainage. CT for deep / fascial involvement; MRI for necrotizing fasciitis when clinical suspicion is high.

If the default doesn't apply

Necrotizing fasciitis suspected
CT Do not delay surgery for imaging; CT with IV contrast only if it won't delay IV contrast
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