From the case:
Burkitt lymphoma
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Grossly abnormal metaphyses with focal lucent areas. Abnormal epiphyses with sclerotic rim and areas of interspersed subchondral lucency. Fracture through the metaphysis on the lateral with periosteal reaction.
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Grossly abnormal metaphyses, around the knees, hips and shoulders. Less marked abnormality around the elbows and wrists.
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Increased metaphyseal uptake globally.
Case Discussion
There is a systemic process affecting the metaphyses of the long bones with a mixed sclerotic and lucent picture, pathological fracture and increased update on the bone scan.
Bone marrow aspirates were abnormal and confirmed Burkitt lymphoma as the underlying cause.
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