18 year-old male patient with fever and left elbow pain and history of sickle cell. Question of osteomyelitis. LIGAMENTS: No significant abnormality noted.TENDONS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: There is patchy low T1 signal and high STIR signal within the distal humeral metadiaphysis and more confluent low T1 and high STIR signal within the proximal radial diaphysis with corresponding enhancement. There is no specific evidence of cortical destruction.  SURROUNDING STRUCTURES: No significant abnormality noted.ADDITIONAL
1. Findings are highly concerning for osteomyelitis of the distal humerus and proximal radius. Acute bone infarction is considered less likely given surrounding abnormalities.2. Large joint effusion with thick rind of enhancement; septic arthritis cannot be excluded. 