Ultrasound of the Month Case 35

Clinical History •

28-year-old male professional athlete sustained a left calf injury 3 weeks earlier (no imaging obtained at that time)

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Patient presents now with improved pain but persistent soft tissue fullness but limited mobility

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Ultrasound was requested to assess for possible gastrocnemius or soleus tear or hematoma/seroma

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Due to patient discomfort and limited ability to run, aspiration of this seroma was requested

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Diagnosis • Post-traumatic seroma interposed between the medial gastrocnemius and soleus muscles following partial medial gastrocnemius tear • Ultrasound-guided seroma aspiration may allow prompt resolution of symptoms and rapid improvement in patient mobility • The use of ultrasound during these procedures allows safe and accurate needle placement and ensures complete evacuation of the fluid collection

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