Thank to everyone who responsed. The mainstay of opinions was old/choronic infarction, other opinions included benign calcified endochondroma, desmoplatic fibroma, chondrosarcoma, chondromixoid fibroma,liposclerosing myxofibrous tumor. The powerpoint attached in original email provided more details including X-ray and more MRI images. The pathologic dignosis was consistent with osteoma. The surgeon said the lesion was very hard.
Best,
Xianjing
—————— 原始邮件 ——————
发件人: “pengxianjing” <pengxianjing@foxmail.com>;;
发送时间: 2021年1月19日(星期二) 下午2:05
收件人: “ocad-msk”<ocad-msk@googlegroups.com>;;
抄送: “Xianjing Peng”<pengxianjing@foxmail.com>;;
主题: Please help! distal femoral slcerotic lesion, no idea what it is.
Hi,dear OCADers
46yr female, distal left femur pain more than 1 month, first biopsy revealed fibrotic and fat tissue with dead bone. I have no idea what it is. Any opinion will be arrpreciated. Thanks!
Best wishes,
Xianjing
![]()



there is no image on this post. Nor any attachment….
Thanks Sorin! Images have been added to the post.
Hi Xianjing,
My main diagnostic hypothesis would be *Bone infarction*
Best
Gustavo