Figure 1.

(A, B) Patient with recurrent lower right sternocostal infection after prior muscle flap reconstruction of a sternal wound (A) associated with residual sternal wires seen on routine chest radiograph (B). (C) CT scan is helpful to delineate the extent of osteomyelitis and also to confirm the absence of mediastinal abscess. (D, E) A prior rectus abdominis flap had been used, but an external oblique myocutaneous flap was still available for soft tissue reconstruction.