Osteosarcoma - distal femur

Case contributed by Sachin T
Diagnosis almost certain

Presentation

Pain and swelling in the left knee since 1 year.

Patient Data

Age: 11 years
Gender: Male
ct

Ill-defined mixed lytic sclerotic lesion is seen involving the meta-diaphyseal region of the distal end of femur with areas of cortical destruction, wide zone of transition, marrow infiltration, extensive sunburst pattern of periosteal reaction and adjacent soft tissue component predominantly along the medial aspect.

mri

Large heterogeneous soft tissue is seen surrounding the distal meta-diaphyseal region of the femur with cortical irregularity, marrow infiltration and spiculated sunburst pattern of periosteal reaction.

Case Discussion

Age, site of lesion and imaging features are consistent with conventional high-grade osteosarcoma.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.