EURORAD ESR

Case 14951

Mandibular branch: an unusual onset of chronic recurrent multifocal osteomyelitis (CRMO)

Author(s)
Sertorio Fiammetta, Schiaffino Simone, Micieli Camilla, Magnano Gian Michele

University of Genoa, Largo Rosanna Benzi 10, 16132 Genoa; Department of Radiology - G. Gaslini Institute; Email:fiammetta.sertorio@gmail.com
 
Patient
female, 12 year(s)
 
 
  • Figure 1
    12 years old girl with painful swelling on the left mandible

    Twelve years old girl with painful swelling on the left mandible

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 2
    Maxillofacial bones Computed Tomography (CT)
     

    Sagittal CT scan shows involvement of the left mandible. The lesion is characterized by cancellous bone lysis, periosteal thickening and cortical bone destruction.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Axial CT scan shows involvement of left mandible (arrow)

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal CT scan shows involvement of left mandible (arrow)

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 3
    Head coronal STIR and T1w MR
     

    Coronal STIR-MR sequence shows hyper-intensity of the left mandible branch and the related surrounding soft tissues (arrow)

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Coronal T1w MR sequence shows hypointensity of the left mandible branch and the related surrounding soft tissues (arrow)

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
  • Figure 4
    Coronal and sagittal STIR-WBMRI
     

    Coronal STIR-WBMRI shows multiple hyper-intensities in the coracoid process of the right scapula, left iliac wing and ileum ischium pubic branch, tarsal scaphoid, cuboid, 3rd right metatarsus and 4th left metatarsus...

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;

    Sagittal STIR-WBMRI shows hyper-intensities on the 4th and 5th sacral vertebrae (arrow)

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Inflammation;
     
     
Twelve years old girl with painful swelling on the left mandible
 
Sagittal CT scan shows involvement of the left mandible. The lesion is characterized by cancellous bone lysis, periosteal thickening and cortical bone destruction.
 
Axial CT scan shows involvement of left mandible (arrow)
 
Coronal CT scan shows involvement of left mandible (arrow)
 
Coronal STIR-MR sequence shows hyper-intensity of the left mandible branch and the related surrounding soft tissues (arrow)
 
Coronal T1w MR sequence shows hypointensity of the left mandible branch and the related surrounding soft tissues (arrow)
 
Coronal STIR-WBMRI shows multiple hyper-intensities in the coracoid process of the right scapula, left iliac wing and ileum ischium pubic branch, tarsal scaphoid, cuboid, 3rd right metatarsus and 4th left metatarsus were detected (arrows)
 
Sagittal STIR-WBMRI shows hyper-intensities on the 4th and 5th sacral vertebrae (arrow)
 
 
 
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