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A Benign Googly

A Benign Googly
This 20-years old lady presented with pain the knee. Her radiograph shows a benign looking lesion with sclerotic rim involving the lateral cortex of the distal femoral metaphysis. The MRI shows a lesion with lobulated hyperintensity and marrow edema while the CT shows the sclerotic rim well. The possibilities included a non-ossifying fibroma with a possible microfracture and a possible chondromyxoid fibroma. A CT guided biopsy was performed. It showed a benign fibrous histiocytoma, which is an unusual lesion and a difficult pre-biopsy diagnosis.
#bonetumor #fibroushistiocytoma #femur #ctbiopsy #ctguidedbiopsy #mri from Instagram: http://ift.tt/2913Bbj