Osteitis

Lesions

involving the outer surface of the bone in children: a pictorial review. Septic cortical osteitis. Antero-posterior radiograph of the left humerus a shows irregular inhomogenous lamellated periosteal reaction at the left lateral cortical surface of the diaphysis (thick arrow). There is an associated obliquely oriented fracture through the proximal humerus. Axial fat suppressed T2 b and coronal fat suppressed T2 c images demonstrate an intracortical hypointensity with surrounding edema through the medullary cavity and the adjacent soft tissues. An axial post-contrast injection image d shows peripheral contrast enhancement surrounding an intracortical hypointensity and enhancement through the medullary cavity and surrounding soft tissues (thin arrow)

Lesions

involving the outer surface of the bone in children: a pictorial review. Septic cortical osteitis with subperiosteal abscess formation in a 7-year-old girl. Antero-posterior radiograph of the left tibia a shows an ill-defined lucency at the lateral aspect of the proximal tibial metaphysis (arrow). Axial  STIR image b reveals a crescentic, hyperintense fluid collection adjacent to the proximal tibia at this level. This collection is hypointense with peripheral enhancement as seen on the post-contrast axial c and sagittal d images. Enhancement can also be seen through surrounding soft tissues

Imaging of

skull vault tumors in adults. Miscellany. Paget disease (a, b) CT (a) and X-ray (b): Characteristic mixed bone lysis and sclerosis, cortical bone thickening, and expansion. Osteoporosis circumscripta cranii CT (c, d): large geographic radiolucent areas involving medullar and cortical bone in frontal and occipital regions (arrows). Amyloidoma (e, f) CT (e) and T2WI (f): Giant heterogeneous mass with marked T2 hypointensity and calcifications. Renal osteodystrophy CT (g): shows characteristic “salt-and-pepper pattern.” Brown tumor (h, i): unspecific well-defined, cystic appearance (arrows). Thalassemia CT (j): Diffuse diploic widening and “hair-on-end” appearance (arrow) with characteristic occipital bone preservation (arrowhead). Bone sarcoidosis (k, l) CT (k) and T2WI (l): Mixed predominantly lytic multiple lesions with lace-like internal pattern of calcification and T2 hypointensity (dashed arrows). Osteitis CT (m, n): Bone focal lysis and erosions of osteitis (arrows) contiguous to a frontal sinusitis complicated with intracranial laminar abscess (dashed arrow)