Unusual case

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?

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1 thought on “Unusual case”

  1. OCAD
    Thank you Hillary, Brian P and Chia for your help and responses. Post op cavity from hardware removal was the consensus. Have a great weekend all.

    Cheers

    Hemang.

    Sent from my iPhone

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