Fibrous cortical defect

Case contributed by Juan Carlos Santizo Castillo
Diagnosis almost certain

Presentation

Incidental finding. Knee pain after having a car accident three months prior to exam.

Patient Data

Age: 11 years
Gender: Male
ct

Images show an eccentric, lytic, well circumscribed lesion with sclerotic margins in the metaphyseal region of the fibula. No soft tissue mass is observed.

Case Discussion

Classic imaging findings of fibrous cortical defect. These are benign, asymptomatic lesions that occur in childhood and usually in males. Differential diagnosis should be made with non ossifying fibroma.

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