Osteonecrosis is the consequence of decreased blood flow and leads to an irreversible hypoxic change of bone. Osteonecrosis typically presents with two serpiginous lines. However, imaging features in the early phase are poorly recognized, and the clinical symptoms are often non-specific. The imaging finding of this case is not presenting as ordinary osteonecrosis, and radiologists should be aware of the imaging diagnosis, even when the finding is atypical.