Incident finding on patients pathology x-ray

Diagnosis: The x-ray reveals a sclerotic bone lesion (arrow). Such a lesion generally represents a more slow-growing insult to bone, whereby the bone has had a chance to react and reorganize. Lytic bone lesions, in contrast, are more acute reactions.
The differential diagnosis of sclerotic bone lesions is represented by the acronym “VINDICATE”:

• Vascular
• Infection
• Neoplasm
• Drugs (Vitamin D, fluoride)
• Inflammatory/idiopathic
• Congenital
• Autoimmune
• Trauma
• Endocrine/metabolic

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