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Foreign Body
Andrew Sonin, MD, FACR; Kirkland W. Davis, MD, FACR
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Clinical Issues

        TERMINOLOGY

        • Abbreviations

          • Foreign body (FB)
        • Definitions

          • Object of external origin that is retained within tissues of body

        IMAGING

        • General Features

          • Radiographic Findings

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          CLINICAL ISSUES

                          • Presentation

                            • Demographics

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Davis J et al: Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis. Acad Emerg Med. 22(7):777-87, 2015
                                        2. Ingraham CR et al: Radiology of foreign bodies: how do we image them? Emerg Radiol. 22(4):425-30, 2015
                                        3. Saul T et al: Ultrasound accurately identifies soft tissue foreign bodies in a live anesthetized porcine model. Acad Emerg Med. 22(8):950-4, 2015
                                        4. Callahan MJ: Musculoskeletal ultrasonography of the lower extremities in infants and children. Pediatr Radiol. 43 Suppl 1:8-22, 2013
                                        5. Shiraev T et al: MRI "row of dots sign" in gossypiboma: an enlarging mass 8 months after sarcoma resection. Skeletal Radiol. 42(7):1017-9, 2013
                                        6. Ozsarac M et al: Glass foreign body in soft tissue: possibility of high morbidity due to delayed migration. J Emerg Med. 41(6):e125-8, 2011
                                        7. Aras MH et al: Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol. 39(2):72-8, 2010
                                        8. Ando A et al: Imaging features of foreign body granuloma in the lower extremities mimicking a soft tissue neoplasm. Ups J Med Sci. 114(1):46-51, 2009
                                        9. Creel SA et al: Sonographic surface localization of subcutaneous foreign bodies and masses. J Clin Ultrasound. 37(3):158-60, 2009
                                        10. Hashefi M: Ultrasound in the diagnosis of noninflammatory musculoskeletal conditions. Ann N Y Acad Sci. 1154:171-203, 2009
                                        11. Mamede RC et al: Do foreign bodies migrate through the body towards the heart? Braz J Otorhinolaryngol. 75(2):195-9, 2009
                                        12. Abu Hassan FO: Retained toothpick causing pseudotumor of the first metatarsal: a case report and literature review. Foot Ankle Surg. 14(1):32-5, 2008
                                        13. Visvanathan V et al: Ultrasound-assisted removal of an airgun pellet from the hand. J Plast Reconstr Aesthet Surg. 61(2):234-5, 2008
                                        14. Tagliafico A et al: Wrist and hand ultrasound. Semin Musculoskelet Radiol. 11(2):95-104, 2007
                                        15. Muehleman C et al: Multiple-image radiography for human soft tissue. J Anat. 208(1):115-24, 2006
                                        16. Turkcuer I et al: Do we really need plain and soft-tissue radiographies to detect radiolucent foreign bodies in the ED? Am J Emerg Med. 24(7):763-8, 2006
                                        17. Crankson S et al: Ultrasound in the diagnosis and treatment of wooden foreign bodies in the foot. Ann Saudi Med. 24(6):480-1, 2004
                                        18. Dumarey A et al: Large wooden foreign body in the hand: recognition of occult fragments with ultrasound. Emerg Radiol. 10(6):337-9, 2004
                                        19. Hung YT et al: Ultrasound for the detection of vegetative foreign body in hand--a case report. Hand Surg. 9(1):83-7, 2004
                                        20. Dean AJ et al: Technique for emergency medicine bedside ultrasound identification of a radiolucent foreign body. J Emerg Med. 24(3):303-8, 2003
                                        21. Graham DD Jr: Ultrasound in the emergency department: detection of wooden foreign bodies in the soft tissues. J Emerg Med. 22(1):75-9, 2002
                                        22. Peterson JJ et al: Wooden foreign bodies: imaging appearance. AJR Am J Roentgenol. 178(3):557-62, 2002
                                        23. Horton LK et al: Sonography and radiography of soft-tissue foreign bodies. AJR Am J Roentgenol. 176(5):1155-9, 2001
                                        24. Jacobson JA et al: Wooden foreign bodies in soft tissue: detection at US. Radiology. 206(1):45-8, 1998
                                        25. Kornreich L et al: Preoperative localization of a foreign body by magnetic resonance imaging. Eur J Radiol. 26(3):309-11, 1998
                                        26. Leung A et al: Intraoperative sonography-guided removal of radiolucent foreign bodies. J Pediatr Orthop. 18(2):259-61, 1998
                                        27. Manthey DE et al: Ultrasound versus radiography in the detection of soft-tissue foreign bodies. Ann Emerg Med. 28(1):7-9, 1996
                                        28. Gooding GA: Foreign bodies. Clin Diagn Ultrasound. 30:99-111, 1995
                                        29. Monu JU et al: Soft-tissue masses caused by long-standing foreign bodies in the extremities: MR imaging findings. AJR Am J Roentgenol. 165(2):395-7, 1995
                                        30. Dupuy DE et al: MR imaging of a patient with a ferromagnetic foreign body. AJR Am J Roentgenol. 160(4):893, 1993
                                        31. Donaldson JS: Radiographic imaging of foreign bodies in the hand. Hand Clin. 7(1):125-34, 1991
                                        32. Bodne D et al: Imaging foreign glass and wooden bodies of the extremities with CT and MR. J Comput Assist Tomogr. 12(4):608-11, 1988
                                        33. Anderson MA et al: Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg. 144(1):63-7, 1982
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Abbreviations

                                                • Foreign body (FB)
                                              • Definitions

                                                • Object of external origin that is retained within tissues of body

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Ultrasonographic Findings

                                                        • Imaging Recommendations

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Davis J et al: Diagnostic accuracy of ultrasonography in retained soft tissue foreign bodies: a systematic review and meta-analysis. Acad Emerg Med. 22(7):777-87, 2015
                                                                              2. Ingraham CR et al: Radiology of foreign bodies: how do we image them? Emerg Radiol. 22(4):425-30, 2015
                                                                              3. Saul T et al: Ultrasound accurately identifies soft tissue foreign bodies in a live anesthetized porcine model. Acad Emerg Med. 22(8):950-4, 2015
                                                                              4. Callahan MJ: Musculoskeletal ultrasonography of the lower extremities in infants and children. Pediatr Radiol. 43 Suppl 1:8-22, 2013
                                                                              5. Shiraev T et al: MRI "row of dots sign" in gossypiboma: an enlarging mass 8 months after sarcoma resection. Skeletal Radiol. 42(7):1017-9, 2013
                                                                              6. Ozsarac M et al: Glass foreign body in soft tissue: possibility of high morbidity due to delayed migration. J Emerg Med. 41(6):e125-8, 2011
                                                                              7. Aras MH et al: Comparison of the sensitivity for detecting foreign bodies among conventional plain radiography, computed tomography and ultrasonography. Dentomaxillofac Radiol. 39(2):72-8, 2010
                                                                              8. Ando A et al: Imaging features of foreign body granuloma in the lower extremities mimicking a soft tissue neoplasm. Ups J Med Sci. 114(1):46-51, 2009
                                                                              9. Creel SA et al: Sonographic surface localization of subcutaneous foreign bodies and masses. J Clin Ultrasound. 37(3):158-60, 2009
                                                                              10. Hashefi M: Ultrasound in the diagnosis of noninflammatory musculoskeletal conditions. Ann N Y Acad Sci. 1154:171-203, 2009
                                                                              11. Mamede RC et al: Do foreign bodies migrate through the body towards the heart? Braz J Otorhinolaryngol. 75(2):195-9, 2009
                                                                              12. Abu Hassan FO: Retained toothpick causing pseudotumor of the first metatarsal: a case report and literature review. Foot Ankle Surg. 14(1):32-5, 2008
                                                                              13. Visvanathan V et al: Ultrasound-assisted removal of an airgun pellet from the hand. J Plast Reconstr Aesthet Surg. 61(2):234-5, 2008
                                                                              14. Tagliafico A et al: Wrist and hand ultrasound. Semin Musculoskelet Radiol. 11(2):95-104, 2007
                                                                              15. Muehleman C et al: Multiple-image radiography for human soft tissue. J Anat. 208(1):115-24, 2006
                                                                              16. Turkcuer I et al: Do we really need plain and soft-tissue radiographies to detect radiolucent foreign bodies in the ED? Am J Emerg Med. 24(7):763-8, 2006
                                                                              17. Crankson S et al: Ultrasound in the diagnosis and treatment of wooden foreign bodies in the foot. Ann Saudi Med. 24(6):480-1, 2004
                                                                              18. Dumarey A et al: Large wooden foreign body in the hand: recognition of occult fragments with ultrasound. Emerg Radiol. 10(6):337-9, 2004
                                                                              19. Hung YT et al: Ultrasound for the detection of vegetative foreign body in hand--a case report. Hand Surg. 9(1):83-7, 2004
                                                                              20. Dean AJ et al: Technique for emergency medicine bedside ultrasound identification of a radiolucent foreign body. J Emerg Med. 24(3):303-8, 2003
                                                                              21. Graham DD Jr: Ultrasound in the emergency department: detection of wooden foreign bodies in the soft tissues. J Emerg Med. 22(1):75-9, 2002
                                                                              22. Peterson JJ et al: Wooden foreign bodies: imaging appearance. AJR Am J Roentgenol. 178(3):557-62, 2002
                                                                              23. Horton LK et al: Sonography and radiography of soft-tissue foreign bodies. AJR Am J Roentgenol. 176(5):1155-9, 2001
                                                                              24. Jacobson JA et al: Wooden foreign bodies in soft tissue: detection at US. Radiology. 206(1):45-8, 1998
                                                                              25. Kornreich L et al: Preoperative localization of a foreign body by magnetic resonance imaging. Eur J Radiol. 26(3):309-11, 1998
                                                                              26. Leung A et al: Intraoperative sonography-guided removal of radiolucent foreign bodies. J Pediatr Orthop. 18(2):259-61, 1998
                                                                              27. Manthey DE et al: Ultrasound versus radiography in the detection of soft-tissue foreign bodies. Ann Emerg Med. 28(1):7-9, 1996
                                                                              28. Gooding GA: Foreign bodies. Clin Diagn Ultrasound. 30:99-111, 1995
                                                                              29. Monu JU et al: Soft-tissue masses caused by long-standing foreign bodies in the extremities: MR imaging findings. AJR Am J Roentgenol. 165(2):395-7, 1995
                                                                              30. Dupuy DE et al: MR imaging of a patient with a ferromagnetic foreign body. AJR Am J Roentgenol. 160(4):893, 1993
                                                                              31. Donaldson JS: Radiographic imaging of foreign bodies in the hand. Hand Clin. 7(1):125-34, 1991
                                                                              32. Bodne D et al: Imaging foreign glass and wooden bodies of the extremities with CT and MR. J Comput Assist Tomogr. 12(4):608-11, 1988
                                                                              33. Anderson MA et al: Diagnosis and treatment of retained foreign bodies in the hand. Am J Surg. 144(1):63-7, 1982