PMC5654277_01
Erythema around bilateral sternoclavicular area in a "butterfly-like" distribution.
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Bilateral sternoclavicular joints were moderately swollen and tender with an erythematous area in a "butterfly-like" distribution (Figure 1).
Chest CT scans. (a) Axial image; (b) coronal image showing evidence of bilateral sternocleidomastoid inflammation/infection. Thickened soft tissue was noted surrounding the SC joints and posterior to the sternum labelled by the red circle.
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Thickened soft tissue was noted surrounding the SC joints and posterior to the sternum (Figure 2).
Sternoclavicular joints MRI scan STIR sequence. (a) Coronal image; (b) axial image showing moderate bone marrow edema in the medial third of the clavicles bilaterally, extending to the subarticular region. There was fluid signal in the SCJ space with mild to moderate marrow edema seen in the manubrium. No radiological signs of osteomyelitis were noted.
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No radiological signs of osteomyelitis were noted (Figure 3).
Lumbar spine MRI scan. (a) STIR sequence; (b) T2 sequence.
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MRI scan of his lower back revealed features consistent with L4/5 discitis (Figure 4).