MEDULLARY BONE INFARCTS.
This is a characteristic appearance of medullary bone infarcts. Most commonly they are in the diaphysis and metaphysis but in this case they also extend to the epiphysis.
ย
The important think to note here is that its involving multiple areas. When there are multiple locations, think of an underlying cause such as SLE (vasculitis) or steroids.
ย
This patient had steroids.
ย
Thank you to Dr Joe Thomas for the case.
Bilateral medullary femoral and tibial serpiginous STIR hyper-intensity with extension into the femoral and tibial epiphysis.
#medullaryinfarct #boneinfarct #radiology #radedasia #mri #kneemri #msk #mriknee #mskmri #radiologyeducation #radiologycases #radiologist #rads #radiologystudent #radiologycme #radiologycpd #medicalimaging #imaging #radcme #rheumatology #arthritis #rheumatologist #sportsmed #orthopaedic #physio #physiotherapist