case_images: PMC11262025_01
case_images: (a) MRI suggests osteomyelitis in the left greater trochanter (white arrow) and two small abscesses near the prostate with periurethral fluid infiltration (red arrow). (b) FDG PET/CT shows high metabolic activity at the trochanter (white arrow) and along the urethrocutaneous fistula's path (red arrow).
case_images: jbji-9-167-f01.jpg
case_images: PMC11262025_01_jbji-9-167-f01.jpg
case_images: Ch1.F1
case_images: An MRI confirmed the presence of osteomyelitis in the greater trochanter (see Fig. 1a), leading to the patient's transfer to our tertiary orthopedic department. Next, an 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG PET/CT) scan was carried out that identified increased metabolic activity in the greater trochanter region and another hypermetabolic area along the path of the urethrocutaneous fistula (Fig. 1b).