Osteomyelitis - proximal tibia

Case contributed by Frank Gaillard
Diagnosis certain

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Coronal T1
C+ fat sat
Coronal
STIR
Axial T1
C+ fat sat
Axial
T2
Axial
T1
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Info

A rounded intramedullary lesion is noted at the proximal metaphysis of the tibia with geographic margins, liquified core, and surrounded by moderate perifocal edema. Lesion margins show post-contrast enhancement. Moderate subcutaneous edema at the anterior aspect of the tibia with underlying cortical interruptions.

x-ray
Frontal
Lateral
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Frontal and lateral views show a metaphyseal rounded lucency at the proximal tibia.

CT guided biopsy

ct
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CT-guided biopsy of the lesion.

Case Discussion

Osteomyelitis of the proximal tibia.

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