Blood cultures were negative, CRP 23, ESR 28, uric acid 3.7, WBC 7.09, Absolute Neutrophil Count 5.03, CMP within normal limits, Rheumatoid Factor, Lyme PCR and ANA were negative
Ankle X-ray: Lucent lesions with sclerotic margins in the right distal tibial metaphysis Case Photo #1.
MRI right ankle with IV contrast: A cystic appearing distal tibial lesion exhibiting increased T1 Case Photo #3 and STIR Case Photo #2 signal with post gadolinium rim enhancement as well as prominent reactive marrow edema most concerning for Brodie's abscess.
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