Description: 20 yrs male with h/o trauma 7 months back..
X-ray Rt.leg lateral shows large radiolucent eccentric ,expansive and buttress of solid periosteal reaction with septation in the proximal part of right tibia.
Description: Calcification within the patellar tendon
Superficial ossicle in the patellar tendon
lateral radiograph of the knee shows an irregular ossification of the proximal tibial tuberosity with thickening of the patellar tendon and soft tissue edema proximal to the tibial tuberosity.
Description: Patient presented with pain in the left thigh and a mass also .Notice the classic onion skin periosteal reaction. I gave a possibility of Ewings sarcoma causing MOTH EATEN bone permeation in the lower shaft of femur.Patient was reffered to cancer Hospital in ISLAMABAD later.