Name : Maryam
Family : Noori
Gender : Female
Age : 8
A 8-year-old girl is referred for further evaluation about progressive foot pain over a few weeks.
Clinical History and Imaging Procedures
A 8-year-old girl is referred for further evaluation about progressive foot pain over a few weeks. She underwent plain x ray which revealed an expansile lytic lesion in meta-diaphysis of 3rd metatarsal bone. MRI showed fluid levels in the lesion.
UBC is the lytic lesion with no or little expansion.GCT is the expansile lytic lesion after skeletal maturity, involved epiphysis at the articular surface.CMF may be indistinguishable. but solid in MRI with no fluid-fluid levels. Metastases are usually multi focal & destructive. Telangiectatic Osteosarcoma shows soft tissue extension. ABC is the best diagnosis in this young patient. It is expansile lytic lesion involved long bones.It shows fluid levels in MRI.
Diagnostic Imaging Orthopedics, David W. Stoller. MD. FACR, Phillip F.J. Tirman. MD, Miriam A. Bredella. MD, et al. Fundamental of diagnostic radiology, William E. Brant, Clyde A. Helms.