Chronic Osteomyelitis on Femur X-Ray Characteristic imaging features include 1. Sequestrum: Dead bone fragment separated from surrounding bone due to necrotic changes with bone resorption. 2. Involucrum: Thick sheath of periosteal new bone formation 3. Cloaca: An opening in the involucrum which drains purulent and necrotic material out of the dead bone. Dr. Devpriyo Pal @drdevrad #Chronic #Osteomyelitis #Femur #XRay #clinical #radiology #msk #Sequestrum #Involucrum