PMC5733763_01
Osteopenia with fraying and cupping of the metaphysis suggestive of rickets.
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fig1
No acute fracture was seen (Figure 1). These labs were consistent with nutritional rickets, and the radiology findings were classical for rickets (Figure 1).
Minimal soft tissue edema surrounding the left proximal tibial metaphysis and diaphysis with corresponding mild enhancement suggestive of early acute osteomyelitis.
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fig2
A repeat MRI was performed on day 6 of admission, which revealed osteomyelitis involving left proximal tibial diaphysis and metaphysis (Figure 2).