| Summary: | <!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves /> <w:TrackFormatting /> <w:PunctuationKerning /> <w:ValidateAgainstSchemas /> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF /> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables /> <w:SnapToGridInCell /> <w:WrapTextWithPunct /> <w:UseAsianBreakRules /> <w:DontGrowAutofit /> <w:SplitPgBreakAndParaMark /> <w:DontVertAlignCellWithSp /> <w:DontBreakConstrainedForcedTables /> <w:DontVertAlignInTxbx /> <w:Word11KerningPairs /> <w:CachedColBalance /> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math" /> <m:brkBin m:val="before" /> <m:brkBinSub m:val=" " /> <m:smallFrac m:val="off" /> <m:dispDef /> <m:lMargin m:val="0" /> <m:rMargin m:val="0" /> <m:defJc m:val="centerGroup" /> <m:wrapIndent m:val="1440" /> <m:intLim m:val="subSup" /> <m:naryLim m:val="undOvr" /> </m:mathPr></w:WordDocument> </xml><![endif]--> <p class="MsoNormal" style="margin-bottom: .0001pt; text-align: justify; line-height: normal;"><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN">Osteomyelitis is a bone disease, it is characterized by infection of bone marrow and adjacent bone</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242;">,</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN"> and often associated with cortical and trabecular destruction. There </span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242;">are</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN"> many imaging modalities that we can be use to diagnose chronic osteomyelitis include plain radiography, ultrasonography, nuclear imaging, CT scan and MRI. Although plain radiography still accurately shows chronic changes, CT scan is more sensitive for the detection of sequestra, sinus tract and soft tissue abcess. Both CT and Ultrasound are usefull for guiding percutaneus aspiration of subperiosteal and </span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242;">soft tissue abscess or fluid collection</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN">. Sequential technetium and gallium or indium scans may help determine wh</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242;">e</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN">ter infect</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242;">i</span><span style="font-size: 12.0pt; font-family: "Times New Roman","serif"; color: #0d0d0d; mso-themecolor: text1; mso-themetint: 242; mso-ansi-language: IN;" lang="IN">on is active and may distinquish infection from noninflammatory bone changes. MRI provides superior information about the anatomical extent of infection but does not always distinguish osteomyelitis from healing fractures and tumors.</span></p> <!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true" DefSemiHidden="true" DefQFormat="false" DefPriority="99" LatentStyleCount="267"> <w:LsdException Locked="false" Priority="0" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Normal" /> <w:LsdException Locked="false" Priority="9" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="heading 1" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 2" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 3" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 4" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 5" /> <w:LsdException Locked="false" Priority="9" QFormat="true" Name="heading 6" /> <w:LsdException 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