case_images: PMC7201794_01
case_images: Lesion.
case_images: CRIOR2020-3204014.001.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.001.jpg
case_images: fig1
case_images: It was occasionally tender to kneel on; however, it was the large size of the lesion that was his main problem (Figure 1).
case_images: MRI scan of lesion.
case_images: CRIOR2020-3204014.002.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.002.jpg
case_images: fig2
case_images: A MRI scan (Figure 2) revealed a cystic lesion measuring 7.6 x 6.4 x 4.1 cm, anterior to the patellar tendon.
case_images: Excised lesion.
case_images: CRIOR2020-3204014.003.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.003.jpg
case_images: fig3
case_images: A well-circumscribed lesion was excised along with an ellipse of the skin (Figure 3).
case_images: Application of VAC dressing.
case_images: CRIOR2020-3204014.004.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.004.jpg
case_images: fig4
case_images: A vacuum-assisted closure (VAC) ( KCI Medical) dressing was applied (Figure 4).
case_images: PICO dressing.
case_images: CRIOR2020-3204014.005.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.005.jpg
case_images: fig5
case_images: A second negative pressure dressing, PICO  (Smith & Nephew), was applied over the wound for one week (Figure 5).
case_images: Surgical scar at 1 year.
case_images: CRIOR2020-3204014.006.jpg
case_images: PMC7201794_01_CRIOR2020-3204014.006.jpg
case_images: fig6
case_images: His wound has healed without any complications (Figure 6).