Presentation
Wrist pain.
Patient Data
Age: 70 years
Gender: Male
From the case:
Para-articular lytic lesion - distal radius
{"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/8317/annotated_viewer_json?lang=us"}
There is a septated lytic expansile lesion of the distal radius which appears to abut the articular surface. The proximal margin of this lesion is somewhat poorly defined. There is no evidence of an aggressive periosteal reaction. In addition, there is a suggestion of a pathologic fracture of the distal radius with a few vague linear lucencies noted.
Case Discussion
Differential includes:
- giant cell tumor: older than usual
- brown tumor
- lytic metastasis (e.g., renal or thyroid)
- aneurysmal bone cyst: very atypical age
Unable to process the form. Check for errors and try again.