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14-year-old female with spontaneous Clostridium perfringens myonecrosis. Axial noncontrast CT of the abdomen and pelvis. Scout image reveals intramuscular gas involving the bilateral thigh musculature (arrow) (A). Axial images of the pelvis (B) and thighs (C) show intramuscular gas in the left iliacus, piriformis, quadriceps, and adductor muscles (arrows). Minimal gas is also seen in the right adductor musculature (C).
