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THE RESOLUTION

Diagnosis: The x-ray reveals an osteochondromatosis (arrows).

Osteochondromatosis is an inherited disorder in which multiple osteochondromas (black arrows) are seen throughout the skeleton. Patients may have anywhere from 2 osteochondromas to hundreds of them. Most are incidentally found on adolescent x-rays. In the first or second decade of life, if not discovered incidentally, patients present with palpable bony masses and limb shortening. Complications of osteochondromas include fractures, bony deformities, neurologic and vascular injuries, bursa formation, and malignant transformation.

Acknowledgement:
Case presented by Teleradiology Specialists (http://www.teleradiologyspecialists.com)
 
 

Clinical Challenge – April 2014
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