case_images: PMC3375660_01
case_images: PMC3375660_02
case_images: PMC3375660_03
case_images: Radiologists report. Right shoulder: Ill-defined cystic changes, cortical thickening laterally with the shaft of humerous and soft tissue swelling in keeping with osteomyelitis of humeral shaft.. Pelvis: Pelvic asymmetry, flattening of the lateral half of the right femoral head with some lucencies seen. Mixed sclerotic and cystic changes are noticed in the neck.. Both femour: There is sclerosis of mid shaft of left femur with some background cystic changes and edosteal reactions. The right middle half showed thickening of cortex with soft tissue swellin of thigh. These are in keeping with bilateral chronic osteomyelitis(Rt>>Lt)
case_images: mjhid-4-1-e2012023f1.jpg
case_images: PMC3375660_03_mjhid-4-1-e2012023f1.jpg
case_images: f1-mjhid-4-1-e2012023
case_images: AVN of both femoral heads (left worse than right) and chronic osteomyelitis of the femoral bones (Refer figure 1 and 2). At this point antibiotics were converted to I.V.
case_images: PMC3375660_04
case_images: PMC3375660_05