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Sub-acute osteomyelitis
TYPE GLEDHILL CLASSIFICATION ROBERT ET AL. CLASSIFICATION
I Solitary localized zone of radiolucency surrounded
by reactive new bone formation
Ia—Punched-out radiolucency
Ib—Punched-out radiolucent lesion with sclerotic margin
II Metaphyseal radiolucencies with cortical erosion --
III Cortical hyperostosis in diaphysis; no onion skin reaction Localized cortical periosteal reaction
IV Subperiosteal new bone and onion skin layering Onion skin periosteal reaction
V -- Central radiolucency in epiphysis
VI -- Destructive process involving vertebral body








|- !TYPE !GLEDHILL CLASSIFICATION !ROBERT ET AL. CLASSIFICATION |- |I |Solitary localized zone of radiolucency surrounded by

reactive new bone formation |Ia—Punched out radiolucency Ib—Punched out radiolucent lesion with sclerotic margin |- |II |Metaphyseal radiolucencies with cortical erosion | --- |- |III |Cortical hyperostosis in diaphysis; no onion skin reaction |Localized cortical periosteal reaction |- |IV |Subperiosteal new bone and onion skin layering |Onion skin periosteal reaction |- |V | --- |Central radiolucency in epiphysis |- |VI | --- |Destructive process involving vertebral body |} dd

Streptococcus agalactiae (Group B Streptococcus) Haemophilus influenzae type b Streptococcus pyogenes (Group A Streptococcus) Streptococcus pneumoniae (Pneumococcus)

Kingella kingae


How to insert an imaging series for CT scan or MRI

If you want to present an imaging series like CT scan or MRI instead of uploading many images, you can highlight the pathologic part by encircling it with yellow color and mix them to create a GIF file by following orders:

1. Highlight the pathologic part step by step and save the output image one by one (here is the example). For highlighting or adding text to your image you can use edit tools in Microsoft Word or PowerPoint.
2. Upload the images to a GIF maker software or website such as, gifmaker.me
3. Set the time interval for output gif file as long as you think can properly demonstrate the pathology
4. Download or save the GIF file
5. Upload the GIF file to your imaging section.

Here is an example of the imaging series:


MRI findings in Osteomyelitis