213.Acute osteomyelitis(急性骨髓炎)

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.

病史：患者男，16岁，肩膀疼痛1月
影像表现：
（A）肩部正位片。肱骨干骺端近端浸润性骨质破坏，播散到骨基底部。病变区域可见单层骨膜反应。干骺端内侧骨皮质穿透。
（B）MRI冠状位T2可见骨髓水肿，浸润并破坏骨皮质，内侧骨膜下积液。清晰的黑线表示肱骨近端周围骨膜新生骨。盂肱关节囊内少量积液。
诊断：急性骨髓炎。

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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