Presentation
The patient presents with pain and a palpable mass on the left lower leg.
Patient Data
X-ray of the left lower leg demonstrates an exophytic osseous lesion of the fibula with origination from the proximal fibular metadiaphysis.
Osseous lesion arising from the proximal fibular metadiaphysis. Heterogenous T2 hyperintensity of a suspected cartilage cap overlying the distal aspect of the osseous lesion. This cartilage cap measures up to 15 mm in the coronal plane but only 5 mm in the axial plane.
Case Discussion
The patient's painless baseline was interrupted by strenuous activity that led to localizable pain on the left calf with a palpable mass medially. As later proven by imaging, though, that mass actually arose laterally from the fibula and extended through the medial calf. Given the developmental nature of these lesions, it is likely that the mass had long been present and was only discovered upon further attention due to pain.