Osteomyelitis - tibia

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Right leg pain and fever.

Patient Data

Age: 3 years
Gender: Female
mri

The right mid-tibial shaft shows intramedullary edema signal associated with cortical thickening and a small cortical defect along its ventro-lateral aspect (cloaca). Periosseous soft tissue edema signal is noted. Post contrast enhancement of the tibia and the surrounding soft tissue planes are noted.

Case Discussion

The case illustrates the typical appearance of osteomyelitis showing marrow edema signal and a characteristic defect traversing the cortex (cloaca).

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