Non-ossifying fibroma of distal tibia

Case contributed by Hidayatullah Hamidi
Diagnosis almost certain

Presentation

Left leg pain.

Patient Data

Age: 10 years
Gender: Male

A lucent lesion with a sclerotic rim located eccentrically in the distal metaphysis of tibia. A narrow zone of transition is seen. No associated periosteal reaction, cortical breach or associated soft tissue mass.

A cortical-based distal tibial medial aspect metaphyseal lesion is noted with low signal intensity on T1WI, high signal intensity on STIR with a thin hypointense rim on both sequences. No surrounding edema. There is heterogeneous post-contrast enhancement. It measures about 3.3 cm in length.

Rest of the imaged bones are normal

Case Discussion

The features are very likely of Non-ossifying fibromas (NOF); a larger version of fibrous cortical defect.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.