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Title : Case 893

Age / Sex : 53 / M


Chief complaint : weight loss, lethargy

What is the most likely diagnosis to explain the skeletal lesions?


What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer)

Courtesy : 김효진 (Kim, Hyo Jin), 보라매병원 (SMG-SNU Boramae Medical Center)


Diagnosis:

Skeletal tuberculosis or TB osteomyelitis



Discussion


Findings
1. Penumbra sign at L1 body lesion (precontrast T1WI) and central non-enhancement at Rt. iliac lesion (postcontrast T1FS) suggest intraosseous abscesses.
2. Empyema necessitans (CT axial), patchy consolidation and tree-in-bud signs (CT) suggest active pulmonary tuberculosis.

References
https://doi.org/10.1186/s43055-024-01191-5

Correct Answer
Total applicants 19 Correct answers 8
Name Institution
도윤아 전문의
김도우 전문의
김정아 전문의
이진영 이대서울병원, 전문의
홍혁기 경북권역재활병원, 전문의
박혜주 전문의
송윤아 전문의
이진영 전문의
Semi-Correct Answer
Total applicants 19 Semi-Correct answers 5
김지환 전문의
전인환 전문의
고일권 전문의
임현재 전문의
김재민 원주연세병원, 전문의


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