MyPACS.net: Radiology Teaching Files > Case 3951

never visited 19 MO MALE W/ LEFT TIBIAL LESION
Contributed by: Alexi Phinney, Radiologist, Virginia Mason Medical Center, Washington, USA.
Patient: 19 month old male
Images:[small]larger

Fig. 1: STIR shows high signal lesion centered in the epiphysis, extending across to to the metaphysis. There is a dark border and ill-defined high signal extending off into the lateral epiphysis. Note high signal along medial tibal cortex. No effusion.

Fig. 2: T1 shows dark signal at the center of the abnomality consistent with central cystic change.

Fig. 3: T1 show central fatty marrow abnormality. The cortex appears violated. There is intermediate signal both deep and superficial to the crural fascia.

Fig. 4: From Netter, Atlas of Human Anatomy, 1989.

Fig. 5: T2 w/FS has great conspicuity, but...

Fig. 6: PD w/FS maintains muscular anatomical landmarks.

Fig. 7: DESS volume sequence...?

Fig. 8

Fig. 9: From Resnick, Bone and Joint Imaging, p.672 (1996)
Discussion: 19 mo male w/ left tibial lesion seen on plain film (no longer available) as a lytic lesion w/ sclerotic border involving the medial aspect of the proxoimal tibial epiphysis and adjacent metaphysis.
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Additional Details:

Case Number: 3951Last Updated: 08-20-2001
Anatomy: Other   Pathology: Other
Modality: MRExam Date: 03-19-2001Access Level: Readable by all users
Keywords: unknown

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