Cases

[image: Infection Session May 22.png]

Dear Ocaders, I am not sure if my previous email reached you, so I will repost this, apologies if you received this twice I have posted a question regarding this patient *a year ago*, regarding fibular stump which seems modified in MRI signal and we all agreed that it was osteoradionecrosis – see the Pdf

Please help. This is 32-year-old patient who had prior trauma, knee replacement. There are increased T2 signal, and striking enhancement of the distal marrow above the spacer cement, although the marrow within the metaphysis of the left femur has fat signal. Is this osteomyelitis?

Hi again, dear Ocaders This friend of mine, also a radiologist, had recurrent inflammations of the joints in the last couple of years Recently, did MRI of the hip – and discoverred AVN of the femural head Then mri of the hands – bilateral AVN of the scaphoid Rehumatologist is still investigating I am sure

Dear Ocaders, I have posted a question regarding this patient a year ago, regarding fibular stump wich seemd modified in MRI signal and we all agreed that was osteoradionecrosis. Patient doctors from Vienna agreeed also, and recomended follow up She came now for a follow up and fibula is fine, as expected But I see

I presume she had pain when she first went to the local urgent care center, but don’t have that information. The MRI was ordered to evaluate the lesion found on outside XRs. In addition to the anterior intracortical lesion there seems to be posterior endosteal stress reaction—white arrows—which I suspect is the source of her

Thank you so much for your quick replies. Most responders recommended aspiration and suggested these abscesses might be secondary to infectious spondylitis/discitis (e.g. TB). One OCADer suggested diabetic myonecrosis as a differential, which I also find very helpful. I tried aspirating but couldn’t get anything out with an 18G needle. [image: CT.aspir.JPG] Assuming correct positioning,

Hi there everyone, this is a 79 year old lady with bilateral, progressive hip pain right>left. She has type II diabetes and had an Enterobacter bloodstream Infection 5 months ago. MRI shows edema of the iliac muscles right>left, as well as liquid changes along both iliopsoas tendons, with peripheral contrast uptake. To me these look