Atypical Presentation Of An Uncommon Cause Of Lower Leg Pain

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Atypical Presentation Of An Uncommon Cause Of Lower Leg Pain - Page #3

Lab Studies: White Blood Cell Count - 6.2 Sedimentation Rate - 19 C-Reactive Protein - 3.1 Other Studies: X-ray of tibia and fibula Case Photo #1 Case Photo #2 - periosteal reaction of the proximal fibula Point-of-care Ultrasound Case Photo #3 - heterogenous but predominantly hypoechoic area of swelling with positive flow on color doppler near proximal fibula MRI of tibia and fibula with and without contrast Case Photo #4 Case Photo #5 Case Photo #6 - progressive osteitis of proximal fibula with enhancing periosteal component and extensive surrounding soft tissue edema suggests osteomyelitis, however cannot exclude sarcoma Fibula biopsy - fragments of reactive bone and focal spindle cell proliferation compatible with myositis ossificans. Consultations: Orthopedics and Hematology/Oncology Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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