Brodie abscess

Case contributed by Dr Ahmed Abd Rabou

Presentation

Fever, pain, swelling and tenderness at the left knee

Patient Data

Age: 7 years old
Gender: Male
Modality: 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 in T1 and high signal in T2/STIR images and crosses the physis and form similar cystic lesion at the epiphysis. It is surrounded by extensive marrow edema. Associated cortical distruction 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
Case created: 12th Apr 2013
Last edited: 22nd Jan 2016
Inclusion in quiz mode: Included

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