http://www.appliedradiology.com RSS Feed on Applied Radiologyhttp://www.appliedradiology.com//Issues/2012/02/Cases/Chronic-recurrent-multifocal-osteomyelitis.aspx<p>A previously healthy 7-year-old girl presented with 4 weeks of gradually increasing back pain. An initial MRI of the thoracolumbar spine was obtained (Figure 1). Two weeks later the patient presented with right ankle pain. There was mild swelling of the right ankle and elevation of the ESR to 40 mm/hr. Over the next 2 weeks, the patient’s symptoms resolved completely and follow-up radiography and magnetic resonance imaging (MRI) of the lower extremity was performed (Figure 2). She remained asymptomatic until 15 months later, when she returned with a low-grade fever and malaise. Mild swelling of the lower legs was discovered on physical exam, and ESR was elevated at 61 mm/hr with otherwise normal laboratory studies. MRI of the lower extremities was obtained (Figure 3).</p>Tuesday, 28 Feb 2012 16:48:50 GMT