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. 2020 Aug 4;75(11):804–810. doi: 10.1016/j.crad.2020.07.019

Figure 7.

Figure 7

A 51-year-old woman with COVID-19. The patient was admitted after a few weeks of cough and dyspnoea and then subsequently developed ARDS. In addition to lung involvement, the patient developed unilateral foot necrosis with clinical features of peripheral ischaemia. (a) Contrast-enhanced CT in the axial and (b) reconstructed sagittal images showed a medium-density structure resembling a collection with hyperattenuating rims in the adductor halluces muscle (arrow), slightly decreased small artery opacification, with patent major arteries, gas locules (white arrowhead) around the first distal phalange without osseous destruction. (c) MRI performed 1 day after CT showed on the axial T1-weighted and (d) sagittal T2-weighted spectral presaturation with inversion recovery (SPIR) sequence thickened and oedematous but intact muscular fibres of the adductor halluces muscle.