Pediatric Chronic Recurrent Multifocal Osteomyelitis

  • Etiology: noninfectious, multifocal osteomyelitis
  • Imaging: most common locations – metaphyses of long bones, unique involvement to mandible / medial 1/3rd of clavicle / spine
  • Clinical: most common disease to affect medial 1/3rd of clavicle

Radiology Cases of Chronic Recurrent Multifocal Osteomyelitis

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.