Follow-up after distal femoral fracture. Persistent pain in the right knee. Known history of alcoholism and politoxic drug abuse.
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Bilateral medullary lesions in femoral and tibial metaphyses with serpiginous border, sclerosis with internal lucencies.
Differentiation between bone infarction and enchondromas can be challenging. The bilateral and symmetrical distribution of these findings combined with the patients history of alcoholism make the diagnose of bone infarctions most likely.