Osteomyelitis, chest, MR
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CB1142-Osteomyelitis, chest, MR
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CB1142-Osteomyelitis, chest, MR
Case ReportHistory
Exam
Findings
Findings
Focal area of fluid intense signal with irregular peripheral enhancement consistent with abscess, centered in the left medial pectoralis muscle, measuring 3.7 x 1.2 x 2.5 cm (TR by AP by craniocaudal). There is surrounding enhancing edema, consistent with purulent cellulitis. Abscess and edema extends into the underlying left third costochondral cartilage.
Edema also extends deep to the costal cartilage into the anterior mediastinum, in the region of the left internal mammary vessels. Rounded area of more focal signal abnormality in this region with peripheral enhancement may reflect extension of abscess into the mediastinum versus thrombophlebitis of an internal mammary vessel.
Increased T2 signal with associated patchy loss of T1 signal in the adjacent sternum, suspicious for osteomyelitis. Marrow enhancement is present at this location, consistent with maintained bone viability.
Impression
Infection extends into the anterior mediastinum. Rounded area of peripheral enhancement in the anterior mediastinum may reflect extension of abscess versus thrombophlebitis of an underlying internal mammary vessel.
