case_images: PMC7171650_01
case_images: X-ray of the tibia fibula. (a) Antero-posterior (AP) view. (b) lateral view.
case_images: CRIHEM2020-4254803.001.jpg
case_images: PMC7171650_01_CRIHEM2020-4254803.001.jpg
case_images: fig1
case_images: A plain radiograph of the left leg (Figure 1) demonstrated increased lucency in the medullary canal extending from the proximal diaphysis of the mid-shaft with normal cortical appearance and no periosteal reaction or evidence of fractures.
case_images: MRI of left tibia with/without IV contrast.
case_images: CRIHEM2020-4254803.002.jpg
case_images: PMC7171650_01_CRIHEM2020-4254803.002.jpg
case_images: fig2
case_images: Magnetic resonance imaging (MRI) of the left leg revealed findings consistent with diffuse intramedullary metastasis involving the left tibia, visualized distal left femur, and proximal/mid-right tibia (Figure 2).
case_images: Whole body PET/CT scan.
case_images: CRIHEM2020-4254803.003.jpg
case_images: PMC7171650_01_CRIHEM2020-4254803.003.jpg
case_images: fig3
case_images: Following this new diagnosis, she underwent a positron emission tomography with computed tomography (PET/CT) scan which reported extensive disease involvement in both tibias, left humerus, and likely left mandible, as well as extensive adenopathy which extended from the supraclavicular region to the distal left external iliac system, believed to be due to her lymphoma (Figure 3).
case_images: PMC7171650_02
case_images: PMC7171650_03
case_images: PMC7171650_04