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Fig. 4B —Osteomyelitis after surgical procedure in 5-year-old girl who initially underwent elbow joint aspiration that was negative. T2-weighted (A) and T1-weighted (B) fat-saturated axial images of distal humerus show intramedullary and subperiosteal abscess (arrows). After MRI, patient was given diagnosis of osteomyelitis, and antibiotic regimen was changed accordingly. A second operation was not performed because child was improving clinically with antibiotics alone.