Primary osteomyelitis of the chest wall

Case contributed by Dr Roberto Schubert

Presentation

Recalcitrant midline and right chest wall pain.

Patient Data

Age: 55
Gender: Female
Modality: CT

Erosions of the sternal synchondrosis, diffuse sclerosis of the neighbouring bone.

Modality: MRI

Bone oedema around the sternal synchondrosis, which shows irregular contours and enhances after contrast. There is also massive oedema and contrast enhancement around the sternal ends of the 1st - 4th right ribs, indicating periostitis/perichondritis.

Case Discussion

Whole body bone scintigraphy must be performed in this case to detect possible other manifestations of OM, for the chest wall is preferentially affected in chronic recurrent multifocal osteomyelitis (CRMO) or the SAPHO syndrome.

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Case Information

rID: 19114
Case created: 7th Aug 2012
Last edited: 10th Aug 2016
Inclusion in quiz mode: Included

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