Presentation
Incidental finding on CT of the abdomen.
Patient Data
Age: Adult
From the case:
Gluteal injection site granulomas
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Multiple gluteal calcified nodules are noted bilaterally, typical of injection site granulomas.
Case Discussion
Gluteal injection site granulomas are a very common finding on CT and plain abdominal radiographs. They occur as a result of subcutaneous (i.e. intra-lipomatous) rather than intramuscular injection of drugs, which cause localized fat necrosis, scar formation and dystrophic calcification.