Monday, February 16, 2009

Tuberculosis Elbow-MRI







There is evidence of erosive osseous destruction involving the lower end of humerus, olecranon process of ulna & radius. Elbow joint spaces are reduced. Also noted is altered marrow signal intensity in these bones appearing hypointense on T1WI and hyperintense on T2 and fat sat T2WI consistent with marrow edema. Fluid collection is noted in relation to elbow joint articulation & in the olecranon bursa. Also noted is soft tissue edema in surrounding muscles & soft tissue.
Opinion- Osseous destruction & marrow edema involving the elbow articulation with fluid collection & soft tissue edema likely infective etiology (Likely tubercular).
Case by-

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