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KMID : 1103720140700010059
Journal of the Korean Society of Radiology
2014 Volume.70 No. 1 p.59 ~ p.63
Primary Bone Lymphoma of the Distal Tibia Mimicking Brodie¡¯s Abscess
Park Jin-a

Lee Seung-Hun
Joo Kyung-Bin
Park Chan-Kum
Abstract
The "penumbra sign" on an unenhanced T1-weighted image is a well-known characteristic of Brodie¡¯s abscess, and this sign is extremely helpful for discriminating subacute osteomyelitis from other bone lesions. We present a case of primary bone lymphoma of the distal tibia mimicking subacute osteomyelitis with Brodie¡¯s abscess in a 50-year-old woman. Initial radiographs and MRI showed a lesion in the distal tibia consistent with Brodie¡¯s abscess with the penumbra sign. Histopathological examination of the surgical biopsy specimen confirmed the presence of a diffuse large B-cell lymphoma involving the bone.
KEYWORD
Lymphoma, Subacute Osteomyelitis, Brodie¡¯s Abscess, MRI
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