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My comments are as follows:
Both lesions outlined by arrows in Fig 1 and 2 are clearly erosive radiographically; they are lytic, have irregular margins, and are in no way normal variants as Dr Lewin states.
At surgery, both areas of radiographic involvement were shown to be osteomyelitic in nature.
On histopathologic study of the resected bone, acute osteomyelitis was demonstrated.
Bayer AS. Rhomboid Fossa or Inflammation?-Reply. Arch Intern Med. 1978;138(4):659. doi:10.1001/archinte.1978.03630280102037
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