Osteoid osteoma

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Right severe hip pain.

Patient Data

Age: 11 years
x-ray

Right femoral lesser trochanteric subtle sclerosis is noted.

ct

Right femoral lesser trochanteric small subcortical lytic lesion (nidus) showing internal sclerotic dot with adjacent cortical thickening and exuberant periosteal reaction. Soft tissue edema adjacent to the site of the lesion.

Case Discussion

Upon further questioning of the patient, he mentioned that pain is usually nocturnal and relieved by aspirin/NSAIDs.

Typical radiological appearance of osteoid osteoma consists of small lytic nidus with internal sclerotic dot , adjacent cortical thickening and periosteal reaction and surrounding soft tissue swelling.

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