Leg pain in 16 y/o.
16 y/o with target appearing osteoid osteoma surrounded by marked fusiform thickening of the lateral tibial diaphysis. I told the referring doctor that I wasnt sure (just kidding). Best I have ever seen. There is a nidus with central mineralization present.
An important differential consideration would be chronic osteomyelitis with sequestrum or cortical abscess if a clear cut nidus is not seen. The nidus is well seen in this case. Reference article.
osteoid osteoma ( RID4005 )