PMC7276632_01
Coronal STIR magnetic resonance imaging on presentation.
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F1
MRI interpretation revealed a large marrow-replacing lesion in the distal femoral shaft with a posterior cortical breach and associated posteromedial soft tissue component (Fig. 1 and 2).
Axial T2 magnetic resonance imaging on presentation.
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F2
MRI interpretation revealed a large marrow-replacing lesion in the distal femoral shaft with a posterior cortical breach and associated posteromedial soft tissue component (Fig. 1 and 2).
Fluoroscopic image of reamer-irrigator-aspirator pass at level of femoral involvement.
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F3
Progress was slowed upon reaching the level of the infection due to severe sclerosis of the distal isthmus (Fig. 3).
Axial proton densityfat-saturated magnetic resonance imaging at 3-month follow-up.
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F4
An MRI was also obtained and revealed reactive changes evident of canal reaming but no osteomyelitis or abscesses (Fig. 4).
Anteroposteriorfemur plain film at 7-month follow-up
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F5
At the 7-month follow-up, she continued to have resolution of all symptoms with normal laboratories and X-rays and was released from orthopedic and infectious disease follow-up (Fig. 5 and 6).
Lateral femur plain film at 7-month follow-up.
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F6
At the 7-month follow-up, she continued to have resolution of all symptoms with normal laboratories and X-rays and was released from orthopedic and infectious disease follow-up (Fig. 5 and 6).