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Tibial physis closed medially. Fracture in lateral tibia extending into epiphysis and metaphysis consistent with Triplane fracture. No major dislocations.
Incidental finding of a lobulated, central lucent lesion in distal tibia, presenting as a well-circumscribed, eccentrically located lesion within the distal tibia metadiaphysis. There is a peripheral sclerotic border. No evidence of bony destruction, no periosteal reaction.
Imaging appearance, lesion location, patient age and the incidental nature are consistent with a fibroxanthoma, aka non-ossifying fibroma.