Quizzes: Bilateral lower leg pain in a runner(2) on Applied Radiology Online

Bilateral lower leg pain in a runner(2)

James H. Cowan III, M.D.

20 y.o. track athlete with several weeks of bilateral lower leg pain. Lower leg radiographs appeared normal.

Question Text

Given the clinical scenario the most likely etiology causing this
appearance is:

Answers

Answer: Chronic venous insufficency causing periosteal reaction
Correct Answer?

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Answer: Lung cancer with resultant hypertrophic osteoarthropathy.
Correct Answer?

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Answer: Periostitis secondary to periosteal stress at sites of muscle attachment
Correct Answer?

Yes

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Answer: Chronic glomerulonephritis with secondary hyperparathyroidism
Correct Answer?

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