case_images: PMC2718164_01
case_images: Disseminated BCG infection in a 16-month-old girl with severe combined immunodeficiency.. A. Plain radiograph of both lower extremities reveals multiple, round, osteolytic lesions in the distal femora, tibiae, and fibulas. Both tibiae show extensive periosteal thickening along the entire diaphyses. Osteolytic lesions extend into the thickened periosteum (arrows).. B. Transverse sonogram through the upper abdomen shows enlarged lymph nodes containing eccentric hypoechoic portion (arrow) at the porta hepatis.. C. Longitudinal us scan of the spleen reveals hypoechoic nodules (arrows).. D. Contrast enhanced CT scan shows multiple, round, hypodense nodules in the spleen. The presence of portocaval lymphadenopathy, with a central low attenuated area (arrow), should also be noted.
case_images: kjr-1-114-g001.jpg
case_images: PMC2718164_01_kjr-1-114-g001.jpg
case_images: F1
case_images: A plain radiograph of both lower extremities revealed multiple, round, osteolytic lesions in the femora, tibiae, and fibulas (Fig. 1A). Ultrasound examination of the abdomen showed enlarged lymph nodes containing an eccentric hypoechoic portion at the porta hepatis and hypoechoic nodules in the spleen (Figs. 1B,C). Contrast-enhanced CT scanning demonstrated the presence of multiple nodules in the spleen, and portocaval lymphadenopathy with a central low-attenuated area (Fig. 1D).