Consult Knee MRI Bone Lesion 73F 1 month pain and swelling NOS 13 yrs post TKR

The AP and Lat XRs are from 1 month ago and show a cortically based lucency
at the medial proximal tibial metadiaphysis.
CU from 9 years ago looks different….but was there a subtle intracortical
lucency in retrospect?
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There is peripheral enhancement of T1 intermediate, bright PD / STIR signal
lesion
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Would you just recommend biopsy at this point?
What do you think?

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