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?
[image: 1.jpeg]
There is peripheral enhancement of T1 intermediate, bright PD / STIR signal
lesion
[image: 2.jpeg]
[image: 3.jpeg]
[image: 4.jpeg]
Would you just recommend biopsy at this point?
What do you think?