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CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2021; 31(03): 725-728
DOI: 10.1055/s-0041-1735919
Case Report

COVID-19–Associated Bone Marrow Necrosis—A Case Report

Soumyadeep Ghosh 
1   Department of Imaging at Parmanand Deepchand Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Santosh S. Gupta
1   Department of Imaging at Parmanand Deepchand Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Nirad Mehta
1   Department of Imaging at Parmanand Deepchand Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
,
Shanaz Khodaiji
2   Departments of Hematology and Transfusion Medicine at the Parmanand Deepchand Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
› Author Affiliations Funding No support or funding has been requested or granted for this article.
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Abstract

We report, herein, a rare case of vertebral bone marrow necrosis in a patient at 1-month post–novel coronavirus disease 2019 (COVID-19) pneumonia complicated with disseminated intravascular coagulation (DIC). The commonly observed radiological features on the imaging modalities like computed tomography (CT), magnetic resonance imaging (MRI), and 18-F fluorodeoxyglucose positron emission tomography (FDG PET) have been discussed here followed by a brief discussion on the role of in-phase and opposed-phase imaging in differentiating the disease from malignant infiltrative pathologies. Histopathological findings on bone marrow smear that confirm the diagnosis have also been illustrated.

Keywords

avascular necrosis - bone marrow necrosis - chemical shift imaging - computed tomography - COVID-19 - disseminated intravascular coagulation - opposed phase - magnetic resonance imaging - opposed phase - positron emission tomography - signal intensity index

Note

This article has not been presented or published anywhere else.




Publication History

Article published online:
06 October 2021

© 2021. 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/)

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