Chronic osteomyelitis of the right femur

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Discharging pus from right thigh posterolateral aspect since 3 years ago.

Patient Data

Age: 60 years
Gender: Male

Extensive abnormality involving the marrow with diaphyseal extension and periosteal reaction at the right femur distal third portion

Cortical defect and cloaca formation at the posteremedian aspect of right femur distal third complicated by soft tissue fluid collection and sinus tract extended to the posterolateral aspect of the thigh.

Case Discussion

MRI has advantages in the detection of osteomyelitis and its complication such as intramedullary abscess formation, soft tissue, and epiphyseal involvement.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.