By Josh Gottlieb, OMS IV, NYIT-COM and Roy Gottlieb, D.O.
X-ray demonstrated marked wavy solid cortical thickening along the posterior cortex of the tibia (Figures 1 and 2). The periosteal reaction was thought to be non-aggressive in type without evidence of a Codman’s triangle or “onion-skin” appearance.
On MRI, there is marrow edema in the thickened posterior cortex with mild adjacent soft tissue edema (figures 3 and 4). Linear vascular grooves are demonstrated in the cortex without radiation to a focal osteoid osteoma nidus.
A CT demonstrated marked […]