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X-ray knee joint frontal and lateral projections showing skeletally immature bones. A rounded bony lesion connected with medial aspect of lower femoral metaphysis through a bony stalk having continuity with both medullary and cortical bone of the femur. It is growing away from the knee joint and uplifting adjacent muscle as evident on AP view. No cortical break, irregularity or lytic lesion is appreciated. There is no fracture. Findings are suggestive of pedunculated osteochondroma.