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Case #21

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Demographics: 5 years old, Male
Indication: Shoulder pain

Findings

  • Sclerotic cortically-based lesion along the medial aspect of the proximal humeral metadiaphysis measuring 3.4 x 1.3 cm, which appears to demonstrate continuity with the adjacent bone marrow
  • No acute fracture or malalignment

Diagnosis

Sessile osteochondroma

Sample Report

No acute fracture or malalignment.

Sclerotic cortically-based lesion along the medial aspect of the proximal humeral metadiaphysis measuring 3.4 x 1.3 cm, which appears to demonstrate continuity with the adjacent bone marrow. This lesion is favored to represent a sessile osteochondroma rather than a parosteal osteosarcoma, though MRI could further assess as clinically indicated.

Discussion

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