Mycetoma remains a common pathology in tropical areas. Diagnosis, base
d on mycology and pathology is still frequently late and treatment oft
en leaves severe functional disorders. Medical imaging is indispensabl
e to evaluate disease spread to bone tissue. Plain radiograms usually
show cortical erosion, defects with sclerosing margins, and bone thick
ening. CT is the most sensitive technique to detect bony involvement.
CT and MR imaging, when available, are the most accurate techniques fo
r determining disease extension in both bones and soft tissues.