Brodie abscess

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

A Brodie abscess is a well defined rim of sclerotic bone surrounding a residual abscess; viable organisms may persist in a Brodie abscess.^[1]

Diagnosis

The imaging findings are

Central area of radiolucency with a surrounding thick rim of reactive bone sclerosis
Pathognomonic tortuous parallel lucent channels extending toward the growth plate
Variable degree of periosteal new-bone formation
Variable associated soft-tissue swelling.

MR images demonstrate a Brodie's abscess