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BigDaddy - Another excellent case. Our radiology friends can also help us a little with this diagnosis. In long bones fibrous dysplasia usually is a lucent lesion in the diaphysis or metaphysis, with endosteal scalloping and the absence of a periosteal reaction. Usually, the lucency is smooth and relatively homogeneous, often described as a ground-glass appearance. The lucent lesion usually has a thick sclerotic border and is called the rind sign. Anyway, as with all these bone lesions, and X-ray (or CT) can keep you from going down the tubes.

----Comment by: PathDoc15 on 2/28/2007 4:48:21 PM

     

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