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The Role of Imaging Modalities in Diagnosis and Management

E. Mark Levinsohn, MD

JAMA. 1981;245(15):1573-1574.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

History

A 7-year-old girl was admitted to the hospital complaining of pain and swelling in her right knee of four to six weeks' duration that was unrelated to trauma. Symptoms began spontaneously and became progressively worse. The pain was relieved by aspirin. Her health had otherwise been good. Results of physical examination were normal with the exception of the distal end of the right thigh, which was swollen, warm, and tender.

Results of routine laboratory studies were normal except for an elevated serum alkaline phosphatase level of 346 IU/dL at 37 °C (normal, 13 to 20 IU/dL at 37 °C). Plain roentgenograms of the distal half of the right femur were obtained (Fig 1). Chest roentgenograms, chest computed tomographic (CT) studies, technetium Tc 99m medronate bone scan (Fig 2), a complete radiological skeletal survey, and a CT scan at the level of both lesser trochanters were obtained (Fig . . . [Full Text PDF of this Article]

Author Affiliations
From the Department of Radiology, State University of New York, Syracuse.

Footnotes
Reprint requests to Department of Radiology, State University of New York, Upstate Medical Center, 750 E Adams St, Syracuse, NY 13210 (Dr Levinsohn).

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