Given the radiographic appearance, what questions might you ask about the patient's symptoms?
The radiographic appearance is highly suggestive of a lesion that typically presents with pain that is worse at night and relieved by aspirin/NSAIDs.
AP and frog-leg lateral radiographs of the pelvis show a cortical-based, 5mm ovoid lucency with tiny punctate internal calcifications and marked surrounding sclerosis and cortical thickening in the lateral aspect of the proximal right femoral diaphysis.