A 57-year-old male presented to a clinic with a history of right knee pain along with a recent onset of swelling and warmth in his right thigh. Physical Examination The patient had an asymmetric increase in the volume of the right thigh Motions of the joints were in the normal range Radiograph Analysis Revealed bony enlargement and cortical thickening (Fig. 1) Coarsening of trabeculae in the right ilium and right femur was observed which extended up to the subchondral region (Fig. 1 and Fig.
2) The appearance of bilateral iliopectineal and ilioischial lines thickening (Fig. 2) Presence of a bilateral space narrowing in the hip cartilage A small sclerotic lesion in the proximal left femur with speculated margins, indicative of a bone island (Fig. 2) Blood Analysis Alkaline phosphatase level-69 U/liter ·Bone-specific alkaline phosphatase level-32 μg/liter All the above clinical…
