Demographics:
17 years old, Male
Indication:
Knee pain
Findings
- Permeative lytic lesion in the proximal tibia with a wide zone of transition and lateral cortical thinning and destruction. Osteoid matrix formation extending into the adjacent soft tissues laterally
- No acute fracture or malalignment
Diagnosis
Osteosarcoma
Sample Report
Permeative lytic lesion in the proximal tibia with a wide zone of transition and lateral cortical thinning and destruction. Osteoid matrix formation extending into the adjacent soft tissues laterally. Findings are concerning for a primary bone tumor, favor osteosarcoma. Consider MRI for further evaluation.
No acute fracture or malalignment.
No joint effusion.
Discussion