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Bone infarcts

Case contributed by Frank Gaillard
Diagnosis certain

Presentation

Acute lymphoblastic leukemia on chemotherapy.

Patient Data

Age: 20 years

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x-ray

Fairly faint serpiginous regions of sclerosis are seen in both the femur and tibia, suggestive of bone infarcts. 

mri

Selected coronal MRI images demonstrate very extensive intramedullary lesions involving the femora and tibia bilaterally consistent with bone infarcts. 

Case Discussion

This case demonstrates extensive bilateral bone infarcts in a 20-year-old with acute lymphoblastic leukemia (ALL) being treated with high dose steroids.

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