Osteopoikilosis

Case contributed by Derek Smith
Diagnosis certain

Presentation

Twisting injury to left knee with persistent pain.

Patient Data

Age: 25 years
Gender: Male
mri

Multiple small punctate sclerotic lesions with low T1w/PD signal, scattered throughout the included skeleton, both epiphyseal and diaphseal. No cortical abnormality. No periosteal change.

Trace fluid signal in quadriceps tendon, but no acute traumatic findings.

x-ray

Well defined small sclerotic lesions throughout the skeleton in distribution as seen on MRI.

x-ray

Similar appearances in the radius, carpal bones and digits.

Case Discussion

Appearances are typical for osteopoikilosis; an incidental finding.

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