Presentation
Right leg pain for a few months, exaggerated at night with no history of trauma.
Patient Data



Plain radiograph of the right leg shows focal cortical thickening and sclerosis of the lateral aspect of the proximal tibial shaft.





Axial and coronal CT images show a small radiolucent nidus at the lateral aspect of the proximal tibial shaft with a central sclerotic dot, surrounded by reactive bone sclerosis and focal cortical thickening.









MRI demonstrates a small focus of of abnormal low signal on T1 and STIR images at the lateral aspect of the proximal tibial shaft surrounded by intense marrow edema signal.
Case Discussion
Plain X-ray, CT and MRI findings together with the clinical presentation are highly suggestive of osteoid osteoma.