[image: 13M consult.jpg]
The tech scanned the wrong leg…this leg used to be symptomatic–he is
going to return for the right leg, which is currently symptomatic.
But, there is intracortical bright T2 signal and both periosteal and
endosteal edema in both the tibia and fibula, with no marrow infiltration.
[image: 13M consult (1).jpg]
[image: 13M consult (2).jpg]
The CT was reported as stress injury, without knowledge of the clinical
history. He is, according to the Peds orthopedist, a “blob”…not fat, but
utterly inactive. He said this cannot be stress injury.
[image: 13M consult (3).jpg]
Apparently the child previously had metatarsal pain, too, which has
resolved.
The referrer suspects CRMO.
Can that look like this?
When we get the MRI of the symptomatic RLE, I will share those images.
Hilary
