Week 163: Case 4

1. Presented by Edward McCarthy, M.D. and prepared by Marc Halushka M.D., Ph.D.

A 30-year-old man had pain in his lower leg. A radiograph demonstrated a lytic expansile lesion in his distal tibia. An MRI showed multiple fluid-fluid levels.

images/Halushka/conf121503/case4image1.jpg
images/Halushka/conf121503/case4image2.jpg
images/Halushka/conf121503/case4image3.jpg
images/Halushka/conf121503/case4image4.jpg
images/Halushka/conf121503/case4image5.jpg