Case contributed by Melbourne Uni Radiology Masters



Patient Data

Age: 32 years

Left femur X-rays

Frontal and lateral views of the distal femur showing large osteochondroma arising from the distal shaft.


CT Left thigh (selected images)

CT with bone targeted windows showing a benign appearing osteochondroma.

Case Discussion

These are images from a patient with multiple hereditary exostosis. Important issues in these cases are: 

  • frequent clinical follow-up with serial imaging
  • any change in clinical symptoms
  • any changes in radiological series
  • a cartilage cap > 20mm

Any clinical or imaging suspicion of malignant transformation is a requirement for further biopsy.

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Case information

rID: 42116
Published: 26th Jan 2016
Last edited: 25th Apr 2019
Tag: rmh
Inclusion in quiz mode: Included

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