Unusual Presentations of Focal Periphyseal Edema Zones: A Report of Bilateral Symmetric Presentation and Partial Physeal Closure

Figure 9

A 14-year-2-month-old female with FOPE zone of the proximal tibia. Findings: Sagittal T1 weighted image shows partial closure of the proximal tibia physis centrally (red arrow) with the physis still open along the periphery of the tibia (yellow arrows). The distal femur physis is narrowed but still open by comparison. Low T1 signal intensity corresponding to the periphyseal edema is again seen spanning the proximal tibia physis. Technique: sagittal T1 MRI (TR = 621.991, TE = 15), ST = 3 mm, spacing = 3.3 mm, FOV = 14 cm, and matrix = 340 × 277.