Case contributed by Subhan Iqbal
Diagnosis probable


Fever, joint pain and swelling.

Patient Data

Age: 1 year
Gender: Female

Left lower lateral femoral metaphyseal lytic lesion. Thick periostitis and interrupted soft tissues planes adjacent.

Case Discussion

The earliest changes of osteomyelitis are present adjacent to soft tissues, swelling and blurring of normal fat planes. An effusion may be seen in an adjacent joint.

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