Case: The 11-year-old female patient visited physician stating a long standing history of musculoskeletal deformities of her extremities. The condition was first discovered at birth, and she had been closely followed by multiple providers at several institutions to document the progression of her disease. She was capable of performing routine daily activities with little assistance, except for the use of a wheelchair after walking significant distances.
The patient exhibited no recent fevers, chills, weakness or bone pain out of proportion to her baseline; however, a nuclear medicine scan in conjunction with plain radiographs was requested to document the extent of her disease due to fears of malignant degeneration of her condition. Imaging Findings: AP views of the left hand, left shoulder and bilateral knees demonstrated numerous expansile, mixed lytic and sclerotic metasphyseal…
