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. 2021 May 23;31(1):210–223. doi: 10.1055/s-0041-1729767

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Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.

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Fig. 17 — Tubercular osteomyelitis in a 12-year-old boy with diffuse hard swelling left face and positive contact history of tuberculosis (TB). ( A ) Axial computed tomography (CT) and ( B ) coronal multiplanar reconstruction (MPR) bone window show osteolytic lesions ( arrow ) causing destruction of both inner and outer cortices in the body and ramus of the left mandible with periosteal reaction. ( C ) Contrast-enhanced CT (CECT) coronal reformatted soft-tissue window reveals adjacent muscle and soft-tissue involvement with heterogeneous enhancement ( asterisk ). ( D ) Histopathological examination shows epithelioid cell granuloma with Langerhans giant cells ( arrowhead ) confirming the diagnosis of tubercular osteomyelitis.