case_images: PMC9463753_01
case_images: PMC9463753_02
case_images: (A, B) anteroposterior and lateral X-ray of the left femur showing a moth-eaten osteolysis in the distal metaphysis extending to the epiphysis and the diaphysis, with periosteal reaction type Codman triangle and edema of the surrounding soft tissues
case_images: PAMJ-42-150-g001.jpg
case_images: PMC9463753_02_PAMJ-42-150-g001.jpg
case_images: F1
case_images: X-ray revealed a moth-eaten osteolysis in the distal metaphysis of the left femur, extending to the epiphysis and the diaphysis, with a Codman triangle type periosteal reaction and edema of the surrounding soft tissues (Figure 1).
case_images: coronal T2 (A), STIR (B) and axial T1 weighted MRI without (C) and with contrast (D) showing metaphyseal-diaphyseal femoral process extending to the soft tissues and to the distal epyphysis
case_images: PAMJ-42-150-g002.jpg
case_images: PMC9463753_02_PAMJ-42-150-g002.jpg
case_images: F2
case_images: The patient underwent an MRI which was also suggestive of a malignant bone tumor (Figure 2).
case_images: X-ray (A) and CT scan (B, C) of the left humerus showing small lytic diaphyseal and metaphyseal lesions, surrounded by marginal sclerosis
case_images: PAMJ-42-150-g003.jpg
case_images: PMC9463753_02_PAMJ-42-150-g003.jpg
case_images: F3
case_images: The radiographs and the CT of the left humerus showed small lytic diaphyseal and metaphyseal lesions, surrounded by marginal sclerosis (Figure 3).
case_images: (A, B) X-ray control of the left femur after 2 years showing a complete resolution of the lesion
case_images: PAMJ-42-150-g004.jpg
case_images: PMC9463753_02_PAMJ-42-150-g004.jpg
case_images: F4
case_images: The patient was then treated by NSAIDs and showed a complete relief of here symptoms with good radiological outcome (Figure 4).