Presentation
Right sided leg pain.
Patient Data
Gender: Male
From the case:
Osteosarcoma - proximal tibia
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Frontal

Permeative ill-defined region in the proximal tibia with associated anterior soft tissue mass and spiculated periosteal reaction.
From the case:
Osteosarcoma - proximal tibia

Increased uptake on all three phases in the right proximal tibia.
From the case:
Osteosarcoma - proximal tibia
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Axial non-contrast

Grossly abnormal proximal tibia with thickened and irregular cortex with widespread soft tissue calcification and periosteal reaction.
From the case:
Osteosarcoma - proximal tibia
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Axial T1

Large enhancing mass in the proximal tibia with extensive extra-osseous soft tissue component.
Case Discussion
Pathologically proven osteosarcoma.