Lab Studies:
White Blood Cell Count - 6.2
Sedimentation Rate - 19
C-Reactive Protein - 3.1
Other Studies:
X-ray of tibia and fibula Case Photo #1 Case Photo #2 - periosteal reaction of the proximal fibula
Point-of-care Ultrasound Case Photo #3 - heterogenous but predominantly hypoechoic area of swelling with positive flow on color doppler near proximal fibula
MRI of tibia and fibula with and without contrast Case Photo #4 Case Photo #5 Case Photo #6 - progressive osteitis of proximal fibula with enhancing periosteal component and extensive surrounding soft tissue edema suggests osteomyelitis, however cannot exclude sarcoma
Fibula biopsy - fragments of reactive bone and focal spindle cell proliferation compatible with myositis ossificans.
Consultations:
Orthopedics and Hematology/Oncology
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