Fig. 30From: Subchondral insufficiency fractures, subchondral insufficiency fractures with osteonecrosis, and other apparently spontaneous subchondral bone lesions of the knee—pathogenesis and diagnosis at imagingDistribution of osteonecrosis from systemic origin. T1-weighted MR image shows lesions characterized by bone marrow areas surrounded by a peripheral rim (asterisks). These lesions are often bilateral, epiphyseal, and diaphyseal-metaphyseal. The areas within the peripheral rims may show a normal marrow signal, corresponding to mummified but not degraded fatBack to article page