Periosteal reaction from chronic venous insufficiency
80 years old diabetic man with skin ulcers and leg pain.
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Solid, wavy, irregular and continuous periosteal reaction in the tibia and fibula secondary to chronic venous stasis.
Multiple subcutaneous soft tissue plaques and calcifications (phleboliths) on the medial and posteromedial aspect of the leg with soft tissue thickening as well as multiple cutaneous ulcerated lesions (venous ulcers).
Diffuse medial calcinosis of the popliteal and infra-popliteal vessels are noted.
Chronic venous insufficiency periosteal reaction.