Fig 1.

Axial contrast-enhanced neck CT scans and 3D reformat performed in a 59-year-old-man who underwent fibular free flap reconstruction for osteomyelitis complicating segmental mandibulectomy (patient 3). Imaging performed at 1 month (A), 2 months (B), and 12 months (C) shows progressive ossification in the left neck from linear segmental densities to a linear attenuation to a linear structure with features characteristic of bone (arrows). The new bone is of greater attenuation than enhancing vessels and is less attenuated than adjacent vascular clips. D, 3D reformation from a CT scan at 9 months when the pedicle ossification (arrows) was first mentioned in the imaging report.