EURORAD ESR

Case 14260

The co- existence of the innocent and the guilty: Sever's apophysitis and Eosinophilic Granuloma.

Author(s)
Anastasia Zikou 1, Paraskevi Kosta1, Xiropotamou Olga1 , Christos Gkizas1, Iliada Nakou² , Spyridon Tsiouris³, Maria Argyropoulou1.

1.Department of Clinical Radiology, University Hospital of Ioannina, Greece.
2.Department of Child Health, University Hospital of Ioannina, Greece.
3.Department of Nuclear Medicine, University Hospital of Ioannina, Greece.
Email:anzikou@cc.uoi.gr
 
Patient
male, 10 year(s)
 
 
  • Figure 1
    X-ray spine

    Profile (a) and face (b) x-rays of the thoracic spine showed sphenoid distortion of the 8th vertebra (arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    MRI SPINE-T2 & STIR sagittal

    Sagittal T2 (a) and STIR (b) images show sphenoid distortion and hyperintence signal of the 8th vertebra (arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    MRI SPINE-T1 & T1-Gd sagittal

    Sagittal T1weighted-images before (a) and after contrast administration with fat-suppressed (b) show sphenoid distortion and hypointense signal of the 8th vertebra with enhancement (arrows).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 4
    Bone scintigraphy 1

    Bone scintigraphy show increased radionuclide uptake of the 8th thoracic vertebra (arrow).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 5
    Bone scintigraphy 2

    Bone scintigraphy show increased radionuclide uptake of the right calcaneus (curved arrow).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Nuclear medicine conventional; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 6
    MRI-STIR & T1 sagittal

    Sagittal STIR (a) and T1 (b) weighted-images show fragmentation and bone edema of the secondary ossification core (arrows).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 7
    MRI T1 & T1-Gd sagittal

    Sagittal T1-weighted fat-suppressed images before (a) and after contrast administration (b) show mild enhancement in the area of bone edema of the secondary ossification core (arrows).

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
Profile (a) and face (b) x-rays of the thoracic spine showed sphenoid distortion of the 8th vertebra (arrows).
 
Sagittal T2 (a) and STIR (b) images show sphenoid distortion and hyperintence signal of the 8th vertebra (arrows).
 
Sagittal T1weighted-images before (a) and after contrast administration with fat-suppressed (b) show sphenoid distortion and hypointense signal of the 8th vertebra with enhancement (arrows).
 
Bone scintigraphy show increased radionuclide uptake of the 8th thoracic vertebra (arrow).
 
Bone scintigraphy show increased radionuclide uptake of the right calcaneus (curved arrow).
 
Sagittal STIR (a) and T1 (b) weighted-images show fragmentation and bone edema of the secondary ossification core (arrows).
 
Sagittal T1-weighted fat-suppressed images before (a) and after contrast administration (b) show mild enhancement in the area of bone edema of the secondary ossification core (arrows).
 
 
 
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