enjoy Morphea pre and post treatment on mtx and cellcept

Hello,

Not sending all images so not to confuse the audience..

These are very high res images
3D at 0.9mm isotropic- notice tigroid skin and subq stranding with mild fat atrophy and deep fascial/muscle involvement. Stranding also best seen on opposed phase imaging – matrix 760

after t/t- anatomic images show resolution of edema but still chronic stranding and fat atrophy. On perfusion- still activity present- so t/t will be continued. Delayed contrast phase is ok.

reference

A Cross-sectional Comparison of Magnetic Resonance Imaging Findings and Clinical Assessment in Patients With Morphea nlm.nih.gov

Best!

AC

Avneesh Chhabra, M.D. M.B.A. F.A.C.R

Professor, Radiology & Orthopedic Surgery

Chief, Musculoskeletal Radiology

Department of Radiology

5323 Harry Hines, Blvd. Dallas, Tx-75390-9316

Office: 214-648-2122

www.utsouthwestern.edu/radiology