School ager with back pain

Radiograph and CT of chronic recurrent multifocal osteomyelitis (CRMO)
AP and lateral radiographs of the spine (2 left-most images) show hyperostosis of the medial aspect of the bilateral clavicles and flattening (vertebra plana) of the T4, T7 and T8 vertebral bodies. Coronal and sagittal 2D reconstructions from a CT without contrast of the spine (2 right-most images) show in more detail the vertebra plana of the T4, T7 and T8 vertebral bodies.

The diagnosis was chronic recurrent multifocal osteomyelitis.