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American Journal of Roentgenology, Vol 137, Issue 4, 721-723
Copyright © 1981 by American Roentgen Ray Society

Articles

CT detection of intraosseous gas: a new sign of osteomyelitis

PC Ram, S Martinez, M Korobkin, RS Breiman, HR Gallis, and JM Harrelson

In three patients the diagnosis of osteomyelitis was made when computed tomography (CT) demonstrated gas within the medullary cavity of the involved bone. The diagnosis was clinically unsuspected in two of the patients before the CT examination, and none showed bone abnormalities on plain radiographs. Two patients had evidence of infection of the deep soft tissues adjacent to bone, and the third developed the lesion in an allograft. In all three patients CT detection of intraosseous gas resulted in significant alteration of patient management.
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