case_images: PMC11330246_01
case_images: Flowchart of disease progression, diagnosis and treatment of this patient.
case_images: IDR-17-3519-g0001.jpg
case_images: PMC11330246_01_IDR-17-3519-g0001.jpg
case_images: f0001
case_images: Figure 1 shows the patient's past medical history, consultation process and management measures.
case_images: Imaging examination results of the right shoulder joint, bilateral Hip joint, left knee joint, and bilateral ankle joint. The typical lesion area is marked with yellow arrows and boxes. (A and B) CT: speckled dense shadow is seen on the outer edge of the right human tuberosity (C and D) MRI: T1WI shown low signal, and multiple patches and line like changes were seen; T2WI showed high signal, and geographic map like changes were seen; (E) X-ray: the right femoral head collapsed; (F and G) MRI: the right femoral head is collapsed; T1WI shows low signal, and multiple patches and line-like changes can be seen; T2WI and FS-PD show high signal, and map-like changes can be seen; (H) X-ray: hypodense shadow around the lower end of the femur and tibial joint on the left side. (I-K) MRI: bone signal abnormality can be seen in the left distal femur and proximal tibiofibula; (L) X-ray: hypodense shadow under the articular surface of the right talus. (M-O) MRI: bone signal abnormality was seen in the right distal tibia, distal fibula and multiple tarsal bones. (P) X-ray: hypodense shadow under the articular surface of the left talus. (Q-S) MRI: Bone signal abnormalities are seen in the right distal tibia, distal fibula, and multiple tarsals.
case_images: IDR-17-3519-g0002.jpg
case_images: PMC11330246_01_IDR-17-3519-g0002.jpg
case_images: f0002
case_images: Imaging studies demonstrated osteonecrosis in the right shoulder, right hip, left knee, and bilateral ankle joints (As is shown in Figure 2).