Male, 44 years old. Infection involving left shoulder. Sinus tract drainage There is there is an approximately 6 x 2.5 x 6 cm soft tissue mass/collection surrounding the inferior aspect of the scapula with abnormal peripheral enhancement and associated underlying abnormal bone marrow signal. This is consistent with the patient's known fungal infection. There is an approximately 4 cm tract extending from the posteriormost aspect of the mass/collection to the overlying skin, compatible with a draining sinus tract.Increased signal on T2 fat saturated images in the humeral head is compatible with red marrow. Bone marrow signal elsewhere is normal. The rotator cuff muscles and tendons are grossly intact within the limits of a nondedicated study.
Peripherally enhancing soft tissue mass in the area of the inferior scapula, consistent with the patient's known fungal infection. Associated draining sinus tract to the overlying skin.