Patient complaining from left iliac crest pain.
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Concerning patient complain, there is some widening of anterior part of left iliac crest mostly suggestive of left iliac crest apophysitis.
Bilateral calcific nodular shadow are incidentally seen in pelvis AP view, lateral to both iliac bones, changed in orientation in oblique view and appear superficial in lateral view in the region of buttock.
Injection granuloma is one of the most common finding in gluteal region. It could be single or multiple, unilateral or bilateral, and vary in size.
Subcutaneous (intra-fat) granuloma is much more common than intramuscular granuloma (93% vs 7%). This is due to that buttock subcutaneous fat thickness (5.7 +/- 1.8 cm for female vs 4.4 +/- 1.7 cm for male) exceeds the length of the most commonly used needle for intramuscular buttock injection (3.8 cm).