Close
In the Left hand there is an expanslie lytic lesion within the middle 4th phalange that demonstrates cortical violoation along its radial aspect. There is severe surrounding soft tissue swelling, most prominent on the volar aspect, with overlying skin irregularity suggesting an open tract. No periosteal reaction is appreciated.
In the right hand there is an expanslie lytic lesion within the 4th metacarpal that demonstrates cortical violoation along its dorsal aspect. There is severe surrounding soft tissue swelling, most prominent on the dorsal aspect of the hand. No periosteal reaction is appreciated.
Both of these lesions could be described to have a "spina ventosa" appearance.