EURORAD ESR

Case 10024

Whole-body imaging : Detection and follow-up of clinically occult sites of CRMO

Author(s)
Paulin E, Merlini L, Toso S, Hanquinet S

Hôpitaux Universitaires de Genève (HUG);
Rue Gabrielle-Perret-Gentil 4,
1205 Genève, Switzerland;
Email:Emilie.Paulin@hcuge.ch
 
Patient
female, 9 year(s)
 
 
  • Figure 1
    Oblique left foot radiograph

    Lytic lesion of the distal metaphysis of the 2nd metatarsal bone of left foot associated with ground glass heterogeneity of the adjacent diaphysis and a thick single layer of periosteal reaction.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Demineralisation-Bone;
     
     
  • Figure 2
    Tc99m bone scintigraphy

    Uptake in the 2nd left metatarsal bone, in the D5-D6 vertebra corresponding to the medical history of back pain and in the 12th left rib, wich was a clinically occult site of disease.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Whole-body MRI, space 3D sequence

    MPR reconstructions of the D5-D6 vertebrae, the 12th left rib and the 2nd metatarsal bone demonstrating bone marrow and soft tissue oedema.

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Demineralisation-Bone;
     
     
  • Figure 4
    Whole-body MRI, space 3D sequence. Nine month follow-up.

    Decreased peri-vertebral tissue oedema of D5-D6 and marrow oedema of the 2nd left metatarsal bone. Increased hyperostosis and soft tissue oedema of the 12th left rib. Apparition of new disease localisations.

     
    Area of Interest: Musculoskeletal bone; Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Outcomes analysis; Special Focus: Demineralisation-Bone;
     
     
  • Figure 5
    EOS radiographic examination of whole spine, anterior view

    Loss of D5-D6 vertebral height and secondary scolisosis (Cobb’s angle = 8°).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Demineralisation-Bone;
     
     
  • Figure 6
    EOS radiographic examination of whole spine. Seven month follow-up.

    Amelioration of the D5-D6 vertebra height under contention (Cobb’s angle = 4°).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Digital radiography; Procedure: Outcomes analysis; Special Focus: Demineralisation-Bone;
     
     
Lytic lesion of the distal metaphysis of the 2nd metatarsal bone of left foot associated with ground glass heterogeneity of the adjacent diaphysis and a thick single layer of periosteal reaction.
 
Uptake in the 2nd left metatarsal bone, in the D5-D6 vertebra corresponding to the medical history of back pain and in the 12th left rib, wich was a clinically occult site of disease.
 
MPR reconstructions of the D5-D6 vertebrae, the 12th left rib and the 2nd metatarsal bone demonstrating bone marrow and soft tissue oedema.
 
Decreased peri-vertebral tissue oedema of D5-D6 and marrow oedema of the 2nd left metatarsal bone. Increased hyperostosis and soft tissue oedema of the 12th left rib. Apparition of new disease localisations.
 
Loss of D5-D6 vertebral height and secondary scolisosis (Cobb’s angle = 8°).
 
Amelioration of the D5-D6 vertebra height under contention (Cobb’s angle = 4°).
 
 
 
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