Non-ossifying fibroma

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Left knee pain

Patient Data

Age: 25 years
Gender: Male
x-ray

A cortical-based eccentric metadiaphyseal multiloculated lucent lesion with a sclerotic rim is seen at the posteromedial aspect of lower femur with an overlying smooth cortical bulge that shows focal thinning at its lower part.

Case Discussion

Plain x-rays show the characteristic appearance of non-ossifying fibroma. It is usually an incidental finding and asymptomatic. It is one of the skeletal “Don’t touch” lesions.

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