Presentation
Evaluate right knee effusion
Patient Data
Age: 60 years
Gender: Female
From the case:
Solid periosteal reaction - hypertrophic osteoarthopathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101780/annotated_viewer_json?lang=us"}
Solid perisosteal reaction along the femoral, tibial and fibular shafts.
No significant joint effusion.
FDG PET-CT for staging lung...
From the case:
Solid periosteal reaction - hypertrophic osteoarthopathy
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/101781/annotated_viewer_json?lang=us"}
FDG PET-CT for staging lung cancer
Hypermetabolic left upper lobe mass corresponding to biopsy-proven lung adenocarcinoma.
Case Discussion
Solid periosteal reaction has a long differential, and hypertrophic osteoarthropathy is one of the items on the differential. Given this patient's lung cancer and no other explaining reason for the periosteal reaction, the reaction is likely hypertrophic osteoarthropathy