Presentation
Right thigh swelling, pain and discharge.
Patient Data
bone marrow edema in the right femoral diaphysis and distal metaphysis
multiple intra-medullary collections (Brodie's abscess)
multiple cloaca along the distal diaphysis
cortical destructive changes in the right femur
soft tissue inflammatory changes in the middle and distal parts of the right thigh
Case Discussion
MRI has advantages in detection of osteomyelitis and its complication such as intra-medullary abscess formation, soft tissue and epiphyseal involvement.
Bone marrow edema, intra medullary abscess formation, soft tissue inflammation, cloaca formation and cortical destructive changes are characteristic for osteomyelitis.