Constant shoulder pain, he is unable to fall asleep without analgesics
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Local cortical lucent lesion (nidus) of the proximal humeral diaphysis with no calcifications. This lesion is surrounded by a prominent periosteal reaction.
History and CT findings are consistent with the diagnosis of osteoid osteoma.
It is a benign bone tumor which usually occurs the in cortex of long tubular bones. Classically patients present with nocturnal pain which is relieved by aspirin.