File:Chronic osteomyelitis in a beta thalassemia major patient (Radiopaedia 18793).jpg

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Summary:

Description
  • Radiopaedia case ID: 18793
  • Image ID: 2157618
  • Modality: Nuclear medicine
  • System: Musculoskeletal
  • Findings: Nuclear medicine (bone scan) - Note the evolution of osteomyelitis in a 4 month period. Image 1 - acute osteomyeltis, decreased uptake due to tamponade effect from mass effect. Image 2 - increased uptake due to increased osteoblast activity in the local region (chornic stage - no mass effect as necrosis of most both cortex and medulla and cloaca present). CR - Background osteoporosis due to underlying condition of beta thalassemia major. Degenerative changes in the right hip - thalassemia related arthropathy. Severe periosteal reaction along the femoral diaphysis. Well defined lucencies in the proximal and distal femur, not present on previous xrays suggest abscess formation. Destruction of the lateral aspect of the distal femoral diaphysis (cloaca noted). Underlying soft tissue involvement should be considered.
Date Published: 21st Jul 2012
Source https://radiopaedia.org/cases/chronic-osteomyelitis-in-a-beta-thalassemia-major-patient
Author Townsville radiology training
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

Licensing:

Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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