PMC6802603_01
Multiple metaphyses affected in the left knee. Coronal proton density (MRI) image shows multiple areas of abnormality extending from the physes into the metaphyses of the distal femur and proximal tibia.
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F1
MRI of the left knee showed an intramedullary lesion in the proximal tibial and distal femoral metaphyses surrounded by edema and inflammation (Figure 1).
PMC6802603_02
Involvement of the left clavicle. Radiograph obtained 2 years after disease onset showing that the left clavicle is broader and denser than the right, indicating chronic changes.
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F2
Physical exam was positive for jaw edema, and tenderness over the left clavicle (Figure 2).
PMC6802603_03
Involvement of the proximal right femur. Anterior-posterior radiograph shows a well-defined lucent lesion in the proximal diaphysis of the right femur with surrounding sclerosis, indicating chronic osseous destruction.
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F3
This showed a lesion in the right medial proximal femur (Figure 3).