Femur osteomyelitis and abscess

Case contributed by Mohammad Farghali Ali Tosson
Diagnosis almost certain

Presentation

Pain distal femur.

Patient Data

Age: 7 years
Gender: Male

A well defined distal femur metaphyseal collection displaying high T2/STIR signal intensity with disruption of the epiphyseal line and posterior cortical destruction.  This is connected with extra-osseous adjacent irregular shape ill-defined area of fluid collection associated with periosteal reaction.

Case Discussion

Chronic osteomylitis with abscess formation of the distal femur.

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