A 42 yo male with poorly controlled DM type 2 came was admitted with a one-month history of worsening pain in his left thigh and calf associated with inability to walk. There was no history of trauma or intramuscular injections.
There was swelling and tenderness in the left distal quadriceps area and calf with limited range of motion of the knee. Peripheral pulses and sensation were normal.
MRI of the left knee is shown below. What are the changes?
Read more in Diabetic Myonecrosis: An Unusual Suspect on ClinicalCases.org.
The author of this case is Moises Auron, M.D. from the Department of Hospital Medicine, Cleveland Clinic.