Case of the Month

Rizzoli Case 1

A xx year old male had pain and swelling in the foot. Radiographs, a bone scan, Ct scans and MRI images are shown at right. are shown at right and linked below.

Clinical photo

Xray1 Xray2 Bone scan

CT scan CTscan2 CTscan3 MRI1 MRI2

A biopsy of the calcaneal lesion is shown in path1 and path2

The patient had a complete work-up. No abnormality was found in the lungs. A mass was noted in the ipsilateral popliteal fossa. A CT of the knee is shown.

1) What is the diagnosis?

2) What treatment options would you consider?

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