A 28 year old male presents with a painful right thigh. On exam you find a indurated, red area overlying the inguinal region of his right leg. He says it has been grumbling for some time with a few courses of antibiotics that have now stopped containing it. It is clearly infected. You are uncertain however, what the yield of an I and D will be. A point of care ultrasound is undertaken to assess the area:
You then increase the depth somewhat to survey the surrounding structures:
What is your impression of the images? What are your next actions? Any concerns with I&D? Click HERE to review the answers to these questions and further discussion on ultrasound for skin and soft tissue infections.