Necrotizing fasciitis (right thigh)
ICU patient with a complex medical history of vascular disease, diabetes, heart disease, kidney failure who presented with thigh pain, cellulitis and subcutaneous abscess.
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There is extensive fat stranding starting from the inferior right pelvic region and descending inferiorly in the medial portion of the thigh which insinuates between fasciae, associated with a hypodense collection and subcutaneous air near the femoro-femoral bypass.
The findings are compatible with acute necrotizing fasciitis with abscess, and possible bypass infection.