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Pediatrics
Diagnosis
Musculoskeletal
Trauma: General
Soft Tissue Foreign Bodies, Acute and Chronic
Soft Tissue Foreign Bodies, Acute and Chronic
Arthur B. Meyers, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Abbreviations

                • Foreign body (FB)

              • Synonyms

                • Chronic FB: FB granuloma, giant cell granulomatous reaction, fibrohistiocytic reaction

              • Definitions

                • Penetrating injury → soft tissue FB deposition
                  • Injury & retention of FB may not be recognized/recalled
                • Chronic FB may lead to mass of granulomatous reaction

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • MR Findings

                      • Ultrasonographic Findings

                        • Nuclear Medicine Findings

                          • Imaging Recommendations

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                • Microscopic Features

                                  CLINICAL ISSUES

                                  • Presentation

                                    • Demographics

                                      • Natural History & Prognosis

                                        • Treatment

                                          DIAGNOSTIC CHECKLIST

                                          • Consider

                                            Selected References

                                            1. Mulholland D et al: The evaluation of palpable thigh nodularity in vaccination-age children - differentiating vaccination granulomas from other causes. J Med Ultrasound. 29(2):129-31, 2021
                                            2. Javadrashid R et al: Visibility of different intraorbital foreign bodies using plain radiography, computed tomography, magnetic resonance imaging, and cone-beam computed tomography: an in vitro study. Can Assoc Radiol J. 68(2):194-201, 2017
                                            3. 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
                                            4. Park HJ et al: Ultrasound-guided percutaneous removal of wooden foreign bodies in the extremities with hydro-dissection technique. Korean J Radiol. 16(6):1326-31, 2015
                                            5. Jarraya M et al: Multimodality imaging of foreign bodies of the musculoskeletal system. AJR Am J Roentgenol. 203(1):W92-102, 2014
                                            6. Kransdorf M et al: Fibrous & fibrohistiocytic tumors. In: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 231-360, 2014
                                            7. Bradley M: Image-guided soft-tissue foreign body extraction - success and pitfalls. Clin Radiol. 67(6):531-4, 2012
                                            8. Laor T: MR imaging of soft tissue tumors and tumor-like lesions. Pediatr Radiol. 34(1):24-37, 2004
                                            9. 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
                                            10. Siegel MJ: Magnetic resonance imaging of musculoskeletal soft tissue masses. Radiol Clin North Am. 39(4):701-20, 2001
                                            11. Rohde V et al: Foreign body granuloma mimicking a benign intraspinal tumour. Br J Neurosurg. 13(4):417-9, 1999
                                            12. Donnelly LF et al: The multiple presentations of foreign bodies in children. AJR Am J Roentgenol. 170(2):471-7, 1998
                                            13. Kornreich L et al: Preoperative localization of a foreign body by magnetic resonance imaging. Eur J Radiol. 26(3):309-11, 1998
                                            14. Karcnik TJ et al: Foreign body granuloma simulating solid neoplasm on MR. Clin Imaging. 21(4):269-72, 1997
                                            15. Tsai TS et al: Fat necrosis after trauma: a benign cause of palpable lumps in children. AJR Am J Roentgenol. 169(6):1623-6, 1997
                                            16. Bissett GS 3rd: MR imaging of soft-tissue masses in children. Magn Reson Imaging Clin N Am. 4(4):697-719, 1996
                                            17. Jelinek J et al: MR imaging of soft-tissue masses. Mass-like lesions that simulate neoplasms. Magn Reson Imaging Clin N Am. 3(4):727-41, 1995
                                            18. Sundaram M et al: MR imaging of benign soft-tissue masses. Magn Reson Imaging Clin N Am. 3(4):609-27, 1995
                                            19. Ezaki T et al: Foreign-body granuloma mimicking an extrahepatically growing liver tumor: report of a case. Surg Today. 24(9):829-32, 1994
                                            20. Varma DG et al: Magnetic resonance imaging appearance of foreign body granulomas of the upper arms. Clin Imaging. 18(1):39-42, 1994
                                            Related Anatomy
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                                            Related Differential Diagnoses
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                                            References
                                            Tables

                                            Tables

                                            KEY FACTS

                                            • Terminology

                                              • Imaging

                                                • Top Differential Diagnoses

                                                  • Pathology

                                                    • Clinical Issues

                                                      • Diagnostic Checklist

                                                        TERMINOLOGY

                                                        • Abbreviations

                                                          • Foreign body (FB)

                                                        • Synonyms

                                                          • Chronic FB: FB granuloma, giant cell granulomatous reaction, fibrohistiocytic reaction

                                                        • Definitions

                                                          • Penetrating injury → soft tissue FB deposition
                                                            • Injury & retention of FB may not be recognized/recalled
                                                          • Chronic FB may lead to mass of granulomatous reaction

                                                        IMAGING

                                                        • General Features

                                                          • Radiographic Findings

                                                            • CT Findings

                                                              • MR Findings

                                                                • Ultrasonographic Findings

                                                                  • Nuclear Medicine Findings

                                                                    • Imaging Recommendations

                                                                      DIFFERENTIAL DIAGNOSIS

                                                                        PATHOLOGY

                                                                        • General Features

                                                                          • Microscopic Features

                                                                            CLINICAL ISSUES

                                                                            • Presentation

                                                                              • Demographics

                                                                                • Natural History & Prognosis

                                                                                  • Treatment

                                                                                    DIAGNOSTIC CHECKLIST

                                                                                    • Consider

                                                                                      Selected References

                                                                                      1. Mulholland D et al: The evaluation of palpable thigh nodularity in vaccination-age children - differentiating vaccination granulomas from other causes. J Med Ultrasound. 29(2):129-31, 2021
                                                                                      2. Javadrashid R et al: Visibility of different intraorbital foreign bodies using plain radiography, computed tomography, magnetic resonance imaging, and cone-beam computed tomography: an in vitro study. Can Assoc Radiol J. 68(2):194-201, 2017
                                                                                      3. 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
                                                                                      4. Park HJ et al: Ultrasound-guided percutaneous removal of wooden foreign bodies in the extremities with hydro-dissection technique. Korean J Radiol. 16(6):1326-31, 2015
                                                                                      5. Jarraya M et al: Multimodality imaging of foreign bodies of the musculoskeletal system. AJR Am J Roentgenol. 203(1):W92-102, 2014
                                                                                      6. Kransdorf M et al: Fibrous & fibrohistiocytic tumors. In: Imaging of Soft Tissue Tumors. 3rd ed. Lippincott Williams & Wilkins. 231-360, 2014
                                                                                      7. Bradley M: Image-guided soft-tissue foreign body extraction - success and pitfalls. Clin Radiol. 67(6):531-4, 2012
                                                                                      8. Laor T: MR imaging of soft tissue tumors and tumor-like lesions. Pediatr Radiol. 34(1):24-37, 2004
                                                                                      9. 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
                                                                                      10. Siegel MJ: Magnetic resonance imaging of musculoskeletal soft tissue masses. Radiol Clin North Am. 39(4):701-20, 2001
                                                                                      11. Rohde V et al: Foreign body granuloma mimicking a benign intraspinal tumour. Br J Neurosurg. 13(4):417-9, 1999
                                                                                      12. Donnelly LF et al: The multiple presentations of foreign bodies in children. AJR Am J Roentgenol. 170(2):471-7, 1998
                                                                                      13. Kornreich L et al: Preoperative localization of a foreign body by magnetic resonance imaging. Eur J Radiol. 26(3):309-11, 1998
                                                                                      14. Karcnik TJ et al: Foreign body granuloma simulating solid neoplasm on MR. Clin Imaging. 21(4):269-72, 1997
                                                                                      15. Tsai TS et al: Fat necrosis after trauma: a benign cause of palpable lumps in children. AJR Am J Roentgenol. 169(6):1623-6, 1997
                                                                                      16. Bissett GS 3rd: MR imaging of soft-tissue masses in children. Magn Reson Imaging Clin N Am. 4(4):697-719, 1996
                                                                                      17. Jelinek J et al: MR imaging of soft-tissue masses. Mass-like lesions that simulate neoplasms. Magn Reson Imaging Clin N Am. 3(4):727-41, 1995
                                                                                      18. Sundaram M et al: MR imaging of benign soft-tissue masses. Magn Reson Imaging Clin N Am. 3(4):609-27, 1995
                                                                                      19. Ezaki T et al: Foreign-body granuloma mimicking an extrahepatically growing liver tumor: report of a case. Surg Today. 24(9):829-32, 1994
                                                                                      20. Varma DG et al: Magnetic resonance imaging appearance of foreign body granulomas of the upper arms. Clin Imaging. 18(1):39-42, 1994