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Fig. 4 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 4

From: The added value of chemical shift imaging in evaluation of bone marrow changes in sickle cell disease

Fig. 4

Axial non-enhanced T1fs a and b through the lower femurs in 19-year-old male patient with bilateral acute thigh pain show bilateral focal bone marrow hyperintensity involving the right more than the left lower femoral shaft; features of acute marrow infarcts. Axial OP c and post-contrast T1fs d through the right upper tibial shaft on the same patient show focal intra-medullary hypointense sequestrum (yellow arrow), focal cortical interruption (red arrow), and non-homogenous marrow enhancement (blue arrows); features are consistent with chronic osteomyelitis

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