Diffuse intra-articular tenosynovial giant cell tumor - ankle

Discussion:

Typical appearances of a diffuse intra-articular tenosynovial giant cell tumor, previously (and still commonly) known as pigmented villonodular synovitis (PVNS).

The findings on the first x-ray and CT were not seen prospectively - it is easy to miss unexpected pathology when an anchoring bias of history of trauma and question of fracture is provided. 

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