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Brodie abscess

Case contributed by Dr Ahmed Abdrabou

Presentation

Fever, pain, swelling and tenderness at the left knee

Patient Data

Age: 7 years
Gender: Male
MRI

Patient's parents did not consent to IV contrast administration, and hence post-contrast sequences were not obtained.

Cystic metaphyseal lesion display low signal on T1 and high signal on T2/STIR images and crosses the physis to form a similar cystic lesion at the epiphysis. It is surrounded by extensive marrow edema. Associated posterior cortical destruction and subperiosteal fluid collection is noted. Adjacent popliteal lymph nodes are seen.

Case Discussion

Diagnosis: Brodie abscess with subperiosteal abscess.

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Case information

rID: 22637
Published: 12th Apr 2013
Last edited: 13th Dec 2019
Inclusion in quiz mode: Included

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