Lab Studies:
Complete blood count - mild anemia (Hgb 11.7); comprehensive metabolic panel - within normal limits; coagulation panel - within normal limits; LDH - elevated (186); Uric Acid - elevated (7.2)
Other Studies:
Xrays (June 2015):
Negative
MRI Right Knee w/o contrast (June 30th, 2015):
Proximal tibial stress reaction, benign appearing lesion in proximal medial tibia.
Case Photo #1 Case Photo #2 Case Photo #3 Case Photo #4
CT Right Lower Extremity w/o contrast(Jan.15th 2016):
Lateral proximal tibial lesion consistent with an osteoid osteoma.
Case Photo #5
Bone Scan (Jan. 22nd 2016):
Radiotracer uptake throughout right tibial plateau
Case Photo #6
Bone Biopsy (Feb. 9th 2016):
Lateral lesion: Osteoid Osteoma
Medial lesion: Primary Bone Large B Cell Lymphoma
Consultations:
Orthopedics
Orthopedic Oncology
Hematology/Oncology
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.