PMC3375660_01
PMC3375660_02
PMC3375660_03
Radiologists report. Right shoulder: Ill-defined cystic changes, cortical thickening laterally with the shaft of humerous and soft tissue swelling in keeping with osteomyelitis of humeral shaft.. Pelvis: Pelvic asymmetry, flattening of the lateral half of the right femoral head with some lucencies seen. Mixed sclerotic and cystic changes are noticed in the neck.. Both femour: There is sclerosis of mid shaft of left femur with some background cystic changes and edosteal reactions. The right middle half showed thickening of cortex with soft tissue swellin of thigh. These are in keeping with bilateral chronic osteomyelitis(Rt>>Lt)
mjhid-4-1-e2012023f1.jpg
PMC3375660_03_mjhid-4-1-e2012023f1.jpg
f1-mjhid-4-1-e2012023
AVN of both femoral heads (left worse than right) and chronic osteomyelitis of the femoral bones (Refer figure 1 and 2). At this point antibiotics were converted to I.V.
PMC3375660_04
PMC3375660_05