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Case #15

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Demographics: 14 years old, Female
Indication: Leg pain

Findings

  • Large multilobulated cortically-based lesion arising from the mid femoral diaphysis with the largest component measuring 8.5 x 5 cm
  • Associated osteoid matrix
  • Mass effect from the lesion results in distortion of the musculature in the anterior compartment of the thigh
  • No acute fracture or malalignment

Diagnosis

Parosteal osteosarcoma

Sample Report

Large multilobulated cortically-based lesion arising from the mid femoral diaphysis with the largest component measuring 8.5 x 5 cm and associated osteoid matrix. Imaging appearance is most suggestive of a parosteal osteosarcoma.

Mass effect from the lesion results in distortion of the musculature in the anterior compartment of the thigh.

No acute fracture or malalignment.

Discussion

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