osteomyelitis tibia and distal radius with fracture LSBU

Description: Radiology case 48--214 HIV patient
Clinical presentation: 13 year old admitted to A&E, following a fall and injury to right ankle. Formerly from Africa. Known immune compromised patient.
The initial ankle films showed some soft tissue swelling, but no visible bone injury. A review area is the fine line that lies just proximal to the epiphyseal plate on the medial side of the distal tibial metaphysis this may mark a fracture or change in bone density above the line of provisional calcification, but would be an indication to dress the ankle and review, especially with a history of recent trauma.