The CT shows air in deeper tissues. I’d say that this wouldn’t be consistent with an NSTI in the dermis. I could see the argument for necrotizing myositis but eh. Necrotizing fasciitis is the most common form of NSTI according to AMBOSS (https://next.amboss.com/us/article/qh0CUf#Z792e3d7f5314461328fc3a0c0a16c63b). But I don’t care strongly unless this image was used in a question and the answer was specifically nec fasc.
How is this being tested?
#AK_Step2_v12::#UWorld::COMLEX::28561
#AK_Step2_v12::#UWorld::Step::2749
#AK_Step2_v12::#AMBOSS::SxayD5
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