Intraosseous abscess refers to the pus-filled cavity within the bone with the surrounding rim of granulation tissue 1.
Terminology
The term intraosseous abscess should be used for fluid-signal cavities within the bone showing peripheral rim enhancement or show a penumbra sign or diffusion restriction in unenhanced images. However, in subacute or chronic osteomyelitis the intraosseous abscesses can be termed as Brodie abscess 1.
Radiographic features
Plain radiograph
- lucent lesion with or without surrounding rim of reactive sclerosis often oriented along the long axis of the bone 2,3
- periosteal new-bone formation +/- adjacent soft-tissue swelling 2,3
CT
- hypodense cystic lesion with thick rim ossification, well-circumscribed periosteal reaction, and reactive bone sclerosis around the lesion 2,3
MRI
- T1: hypointense
- T2/T2FS/STIR: hyperintense
- T1 C+: peripheral enhancement
- DWI: diffusion restriction 2,3