5 year old male child presented with pain in the right leg when walking. A radiograph and MRI of the right leg is given. Post your views.

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Bone tumor Dd Fibrous Dysplasia Osteoblastoma Osteosarcoma Giant Cell Tumor Metastasis CystChondroblastoma Chondromyxoid tumor FibromaHyperparathyroidism (brown tumors) HemangiomaInfectionNon-ossifying FibromaEosinophilic Granuloma / Enchondroma

Look like an external mass scalloping and eroding the cortex of tibia Possibly malignant Differential diagnosis 1 parosteal osteosarcoma 2 soft tissue sarcoma What is radiologist report? Trucut biopsy confirmation Posterior slab to prevent pathological fracture Non weight bearing

Osteomyelitis

Osteomyelitis

No pathologic fracture. MRI images shows a lobulated cortical mass extending into the soft tissues,

Osteofibrous Dysplasia

Osteomylitis

Plain films of the right leg shows an eccentric expansile lytic lesion of the anterior right tibia.

Osteomyelitis

@Dr. Anton Job Romesh Prasad ...R

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