Wk 3, Case 4 - Supplemental Case

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DIAGNOSIS: Osteomyelitis

EXAM: Right Knee Radiographs (X-ray), 2 views

INDICATION: 10-year-old girl with pain and persistent fever, as well as unwillingness to bear weight on the left side.

TECHNIQUE: AP and lateral views of the knee were obtained

FINDINGS:

There is a suprapatellar joint effusion. The femoral trabecular pattern appears diminished, suggesting osteopenia. There is a metaphyseal lucency at the distal femur, above the medial aspect of the growth plate and in the distal femoral metaphysis. There is no acute fracture or dislocation.

IMPRESSIONS:

Lucency in the distal right femur could represent osteomyelitis. It may be helpful to obtain knee MRI to further evaluate for bone marrow changes.

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Brandon P Brown, MD, MA, FAAP

Director of Fetal and Perinatal Imaging

Indiana University School of Medicine

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Wk 3, Case 4 - Supplemental Case