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Osteoid Osteoma confirmed by radiographic appearance and clinical history

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Osteoid Osteoma confirmed by radiographic appearance and clinical history

History: 15 year old white male presents with three month history of right upper leg pain that is unrelieved by rest. Pain reportedly is worse at night and is somewhat relieved by NSAIDs. There is no history of trauma or potential for overuse injury.

Findings: Plain film x-rays demonstrate an oval area of lucency within the right femoral cortex surrounded by an increased periosteal reaction. CT of the right lower extremity demonstrates a cortically based oval lucency (nidus) surrounded by sclerotic bone.

Ddx: Osteoid Osteoma Sclerosing Osteomyelitis Brodie abscess Eosinophilic Granuloma

Exam: Well developed, well nourished adolescent male in no acute distress. Can bear full weight with both lower extremities despite visible pain. Palpation and manipulation does not localized pain in right upper leg on exam. No labs.

No MeSH data available.


Coronal reconstruction of axial CT, right lower extremity demonstrates a cortical lucency with sclerotic bone margins.
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MPX2572_synpic17803: Coronal reconstruction of axial CT, right lower extremity demonstrates a cortical lucency with sclerotic bone margins.


Osteoid Osteoma confirmed by radiographic appearance and clinical history

Palacios III, MD RGPIM - MedPix

Coronal reconstruction of axial CT, right lower extremity demonstrates a cortical lucency with sclerotic bone margins.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2572&req=5

MPX2572_synpic17803: Coronal reconstruction of axial CT, right lower extremity demonstrates a cortical lucency with sclerotic bone margins.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Osteoid Osteoma confirmed by radiographic appearance and clinical history

History: 15 year old white male presents with three month history of right upper leg pain that is unrelieved by rest. Pain reportedly is worse at night and is somewhat relieved by NSAIDs. There is no history of trauma or potential for overuse injury.

Findings: Plain film x-rays demonstrate an oval area of lucency within the right femoral cortex surrounded by an increased periosteal reaction. CT of the right lower extremity demonstrates a cortically based oval lucency (nidus) surrounded by sclerotic bone.

Ddx: Osteoid Osteoma Sclerosing Osteomyelitis Brodie abscess Eosinophilic Granuloma

Exam: Well developed, well nourished adolescent male in no acute distress. Can bear full weight with both lower extremities despite visible pain. Palpation and manipulation does not localized pain in right upper leg on exam. No labs.

No MeSH data available.