Fig. 18
From: Tumor and tumorlike conditions of the pleura and juxtapleural region: review of imaging findings
Diagnosis: radio-osteonecrosis and/or osteomyelitis. Technique: standard chest radiography and contrast-enhanced chest CT. Description: A 43-year-old man presented with left-sided chest pain. His medical history includes a lobectomy of the left upper lobe and radiotherapy. The postero-anterior chest radiograph (a) shows deformity and volume loss of the left hemithorax with a dense aspect of the lobectomy space. The coronal and axial CT thorax in bone window (b, c) reveals extensive periosteal reaction of the left ribs with inhomogeneous osteosclerosis and necrotic bone (with a typical denser aspect). The mediastinal window setting (d) is better to evaluate the adjacent soft tissue component and the fluid in the lobectomy space