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CT and MRI in tuberculous sternal osteomyelitis: a case report
Cetin Atasoy1, Pelin Seher Oztekin, Nezih Ozdemir
1Department of Radiology, Ibn-i Sina Hospital, School of Medicine, Ankara University, 06100, Ankara, Turkey. cetinatosoy@hotmail.com
Clinical Imaging
|February 20, 2002
Summary
A 58-year-old male presented with sternal swelling and pain. Imaging revealed complex sternal and soft tissue masses, indicating a challenging diagnosis requiring surgical and medical treatment.
Area of Science:
- Radiology
- Oncology
- Infectious Diseases
Background:
- Presternal swelling and pain can indicate various pathologies affecting the sternum and surrounding soft tissues.
- Accurate diagnosis is crucial for effective treatment planning.
Observation:
- A 58-year-old male patient reported a year of presternal swelling and pain.
- Radiography showed increased anterior soft tissue density and sternal cortical sclerosis.
- Computed tomography (CT) revealed ring-enhancing hypodense soft tissue masses around the sternum with cortical thickening.
Findings:
- Three-phase technetium bone scintigraphy indicated increased radiotracer uptake on the left sternum and a photopenic center.
- Magnetic resonance (MR) imaging demonstrated abnormal signal intensities in the sternal bone marrow and peristernal lesions, with significant postgadolinium enhancement.
Implications:
- The combination of imaging findings suggests a complex inflammatory or neoplastic process involving the sternum and adjacent soft tissues.
- Multimodality imaging is essential for characterizing these lesions.
- Combined surgical and medical therapy was initiated for this patient.