n SA Journal of Radiology - Answer to musculoskeletal imaging quiz case : quiz case

Volume 19, Issue 1
  • ISSN : 1027-202X
  • E-ISSN: 2078-6778



Case findings and diagnosis - No correct answer was received for this musculoskeletal quiz case.

The patient, a 34-year-old female runner, presented with a 6-week history of right hip pain that progressed slowly. She curtailed her physical activity, but was still able to continue with her other daily living activities. At the time of initial presentation, a plain radiograph was performed, demonstrating subtle lytic foci in the right supra-acetabular ileum and right lesser trochanter. No surrounding sclerotic rim or soft-tissue fat plane displacement was noted. Preliminary radiographic differential diagnoses included multiple myeloma, osteolytic metastatic disease, eosinophilic granulomas or cystic angiomatosis. Initial blood tests confirmed normal haemoglobin, serum calcium, liver function, urea and electrolytes.

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