Osteomyelitis in an infant
Not moving leg for three days.
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In the lateral distal femoral metadiaphysis is an ill-defined lytic lesion with some surrounding sclerosis. There is extension to the physis but the ossified epiphysis appears normal. There is a thick periosteal reaction along the femur with associated soft tissue swelling.
The lesion was confirmed to be osteomyelitis on wash-out by the orthopaedic surgeons.