Lab Studies:
Complete blood count - mild anemia (Hgb 11.7); comprehensive metabolic panel - within normal limits; coagulation panel - within normal limits; LDH - elevated (186); Uric Acid - elevated (7.2)
Other Studies:
Xrays (June 2015):
<br>Negative
<br>MRI Right Knee w/o contrast (June 30th, 2015):
<br>Proximal tibial stress reaction, benign appearing lesion in proximal medial tibia.
<br> <a href="CaseStudyImages/CS1SecondShotatLife-455.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1SecondShotatLi-455.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1SecondShota-455.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> <a href="CaseStudyImages/CS4CS3CS2CS1SecondSh-455.jpg" title="Case Photo #4" data-lity><b>Case Photo #4</b></a>
<br>CT Right Lower Extremity w/o contrast(Jan.15th 2016):
<br>Lateral proximal tibial lesion consistent with an osteoid osteoma.
<br> <a href="CaseStudyImages/CS5CS4CS3CS2CS1Secon-455.jpg" title="Case Photo #5" data-lity><b>Case Photo #5</b></a>
<br>Bone Scan (Jan. 22nd 2016):
<br>Radiotracer uptake throughout right tibial plateau
<br> <a href="CaseStudyImages/CS6CS5CS4CS3CS2CS1Se-455.jpg" title="Case Photo #6" data-lity><b>Case Photo #6</b></a>
<br>Bone Biopsy (Feb. 9th 2016):
<br>Lateral lesion: Osteoid Osteoma
<br>Medial lesion: Primary Bone Large B Cell Lymphoma
Consultations:
Orthopedics
<br>Orthopedic Oncology
<br>Hematology/Oncology
Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.