[OCAD] Pls help – bilateral iliopsoas tendon abscesses? drainage/sample? (MRI; iliopsoas; hip)

Hi there everyone,

this is a 79 year old lady with bilateral, progressive hip pain right>left.
She has type II diabetes and had an Enterobacter bloodstream Infection 5
months ago.

MRI shows edema of the iliac muscles right>left, as well as liquid changes
along both iliopsoas tendons, with peripheral contrast uptake.
To me these look like possible abscesses. What is your impression? Would
they be related to the bloodstream Infection?

Surgeons are asking for percutaneous drainage or at least that I take a
sample. Good idea? Should I do it?

I’m attaching a few screenshots for a quick look, as well as a PPT with
more images.

Cheers,

Andrei