402.Acute osteomyelitis

每天朗读一段医学影像学英语文章

CLINICAL HISTORY

A 16-year-old boy with shoulder pain for 1 month.

FINDINGS

A. AP radiograph of the shoulder. There is permeated destruction of the proximal humeral metaphysis extending into the shaft, with a single layer of periosteal reaction enveloping the region of abnormality. Penetration of the cortex is present along the medial aspect of the metaphysis.

B. Coronal T2-weighted MRI shows marrow edema, permeated cortical destruction, and subperiosteal fluid medially. Note the well-defined dark line of enveloping periosteal new bone surrounding the proximal humerus. There is a small amount of fluid in the glenohumeral joint capsule.

DIAGNOSIS

Acute osteomyelitis.

Notes:

1. humeral ['hju:mərəl] adj. 肱骨的

2. metaphysis [mɪ'tæfɪsɪs] n. 干骺端

3. shaft [ʃæft] n. 柄，轴

4. periosteal [pɪəri:oʊs'tel] 骨膜的

5. cortex [ˈkɔ:rteks] n. 皮质

6. marrow edema 骨髓水肿

7. cortical ['kɔ:tɪkl] adj. 皮层的，皮质的

8. glenohumeral [ɡli:noʊh'ju:mərəl] 盂肱的

9. osteomyelitis [ˌɒstɪoʊˌmaɪə'laɪtɪs] n. 骨髓炎

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁

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