So I got a few answers, I’ll post what most people think:
Chondroid lesion of more than 5 cm (here 5.4) in a context of pain (not otherwise explained) with abnormal painful gait should be evaluated by a oncologic surgeon as it could be low grade chondrosarcoma. The subchondral edema in the femoral head could be due to the abnormal painful gait.
Thanks to everyone!
David
Dear all,
19yo male patient who fell 2 month ago with persistent proximal femur pain and vicious standing, RX and US didn’t show anything so the doctor wanted an MRI.
3 months ago he had an MRI which shown a incidental finding in the metaphysodiaphyseal proximal femur of what looks like an enchondroma, bone rads 1, with less than 1/3 endosteal scallop (not shown here, on axial).
T1/T2/T1postgadofs
They asked for a control 3 months later (today), and something else appeared in the juxta-physeal subchondral epiphyseal femoral head.
T1/T2/T1postgadofs
I’m wondering what could appear so fast within 3 months? Would that more likely explain the pain the patient is experiencing? Any idea to what it could be? I have some ideas, but I don’t want to sound alarming.
Best,
David
