Leg pain and weakness. Tender calves. Dense soft tissues on examination. White cell count elevation.
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Bilateral and symmetric thickening with T2 hyperintensity of the fascia throughout both legs which is most pronounced in the calves.
Mild muscle oedema suggests inflammatory change. Soft tissue hyperintensity and thickening. No significant effusion or lymphadenopathy.
Gross fascial thickening with soft tissue thickening and a raised white cell count is suggestive of eosinophilic fasciitis. The differential white cell count revealed an eosinophilia which clinches the diagnosis here.