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Fig. 5A —Osteomyelitis with abscess after initial joint aspiration in
3-year-old boy who had undergone knee joint aspiration yielding clear bloody
fluid that was negative for infection 1 day before MRI was performed.
Unenhanced proton density–weighted fat-saturated sagittal (A) and
T1-weighted axial fat-saturated gadolinium-enhanced (B) images show
subperiosteal abscess (arrows) and diffuse small intramedullary
abscesses. Small size of joint effusion (arrowheads) likely
contributed to false-negative joint aspiration. After MRI, patient underwent
second intervention to drain intramedullary and subperiosteal abscesses.