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British Journal of Radiology (2007) 80, 227-229
© 2007 British Institute of Radiology
doi: 10.1259/bjr/79596309

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An unusual cause of knee pain

M Charest, MD E A Haider, MB BCh and C Rush, MD, CM

Department of Nuclear Medicine, Division of Radiology, Jewish General Hospital, McGill University, Room G-19, 3755 Cote St. Catherine Road, Montreal, Quebec, H3T 1E2, Canada


Figure 1
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Figure 1. Conventional radiograph. Anterior view of the left knee.

 

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Figure 2. Conventional radiograph. Lateral view of the left knee.

 

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Figure 3. (a) Anterior projection flow and blood pool study of the knees demonstrating abnormal hyperaemia. (b) Whole body bone scintigraphy with additional images obtained of the hands and lateral views of the knees. There is intense increased uptake in the femora, tibiae and distal forearm bones in a pattern characteristic of Erdheim-Chester disease. Mandibular, vertebral, sacroiliac and first carpometacarpal joint abnormalities were attributed to other pathology.

 





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