Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Osteomyelitis - proximal tibia
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![](https://prod-images-static.radiopaedia.org/images/141101/0eb15b33c86c714a232ce1bdfbff0c_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/141071/8a39eb379e761588ad6c80febce872_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/141077/69915498fe58eb4edb93ac02387b13_thumb.jpg)
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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.
From the case:
Osteomyelitis - proximal tibia
![](https://prod-images-static.radiopaedia.org/images/141095/4e69eb35fecac34bfcbf980767b182_thumb.jpg)
![](https://prod-images-static.radiopaedia.org/images/141089/e76c48a471aafe55b17774dd28596a_thumb.jpg)
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![](https://prod-images-static.radiopaedia.org/images/141095/4e69eb35fecac34bfcbf980767b182_big_gallery.jpg)
Frontal and lateral views show a metaphyseal rounded lucency at the proximal tibia.
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![](https://prod-images-static.radiopaedia.org/images/141107/86bbbcd0fc1e57b164d27c88835642_big_gallery.jpg)
CT-guided biopsy of the lesion.
Case Discussion
Osteomyelitis of the proximal tibia.