Osteomyelitis

Case contributed by Hani M. Al Salam
Diagnosis almost certain

Presentation

Sickle cell disease patient complaining of right hip and proximal thigh pain

Patient Data

Age: 45 years
Gender: Male
x-ray
Frontal
Oblique
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Info

An ill defined lytic bony lesion at the proximal shaft of the right femur.

mri
This study is a stack
Axial
T1
This study is a stack
Axial T2
fat sat
This study is a stack
Coronal
STIR
This study is a stack
Coronal
T1
This study is a stack
Sagittal
T2
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Axial T1
C+ fat sat
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Info

MRI confirm intra-medullary collection with surrounding reactive inflammatory muscle swelling.

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