Which MRI finding is typical of early osteomyelitis?

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Multiple Choice

Which MRI finding is typical of early osteomyelitis?

Explanation:
Bone marrow edema on MRI, often with early involvement of the cortex, is the pattern that best fits early osteomyelitis. Inflammation starts in the marrow, so you see edema with low T1 and high T2/STIR signals and contrast enhancement. If the infection reaches the cortex, you’ll also see cortical involvement on imaging. Subchondral sclerosis reflects chronic or long-standing changes rather than an early process, and soft tissue edema can accompany many conditions and isn’t specific to early bone infection. A normal MRI would miss active infection, so the combination of marrow edema with cortical involvement most accurately points to early osteomyelitis.

Bone marrow edema on MRI, often with early involvement of the cortex, is the pattern that best fits early osteomyelitis. Inflammation starts in the marrow, so you see edema with low T1 and high T2/STIR signals and contrast enhancement. If the infection reaches the cortex, you’ll also see cortical involvement on imaging. Subchondral sclerosis reflects chronic or long-standing changes rather than an early process, and soft tissue edema can accompany many conditions and isn’t specific to early bone infection. A normal MRI would miss active infection, so the combination of marrow edema with cortical involvement most accurately points to early osteomyelitis.

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