Non ossifying fibroma

Case contributed by Amr Farouk
Diagnosis almost certain

Presentation

20 year old male with knee pain.

Patient Data

Age: 20 years old
Gender: Male
x-ray

Left distal femoral diametaphyseal eccentric well-defined lytic lesion with sclerotic rim. No cortical disruption, associated soft tissue component or periosteal reaction.

mri

Left distal femoral diametaphyseal eccentric low T1W signal lesion, with some mixed T2W signal. No cortical disruption, associated soft tissue component or periosteal reaction.

Case Discussion

Plain x-ray and MRI appearances of non-ossifying fibroma, which are important to recognize as this is a "do not touch" bone lesion that does not require biopsy. 

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