Knee injury with laceration. Fracture?
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Skeletally immature patient. No fracture.
Artefact from gauze applied to external laceration.
Gauze is manufacturer to be evident no plain radiographs. In this case it is externally applied - not taken off prior to radiograph between taken.
It can be much more relevant in other cases, such as a retained laparotomy swab, which has caused a intra-abdominal collection.