Is This A Normal Tibia X-ray?

Posted on Mon, 9 Sep 2024

Question: is this a normal tibia x-ray? look at the gray area near the top. is that some growth?

Answered by Dr. Dr.Raju.A.T (2 hours later)

Brief Answer:
Need another view

Detailed Answer:
Hi,

Thanks for your query.

Yes, upper one-third on the anterior border of the tibia shows irregularity in the cancellous part. The chances of it being a cancerous growth are less as there is uniformity in its radio-opacity. Cancers usually show up as a lytic mixed intensity on xray. This can be well confirmed when seen in the anterior view.

Sometimes in old age, the cortex can show irregularity due to osteomalacia .

Hope, I answered your query.

Please do ask if any doubts.

regards,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr.Raju.A.T (4 hours later)

what would the next step be for me?

Answered by Dr. Dr.Raju.A.T (18 hours later)

Brief Answer:
CT scan

Detailed Answer:
Hi,

Thanks for writing back.

Get a CT scan of the upper end of the tibia. This gives a very clear picture on what the irregularity is .

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar