Solitary Lucent Epiphyseal Lesions in Children

The differential diagnosis for lucent lesions in the bone is extensive. We can narrow it down by age, location, and presence of other findings. Here we consider solitary lucent epiphyseal lesions in children.

• Brodie abscess:
• Langerhans cell histiocytosis: Well-defined lytic lesion without sclerotic rim, but can have an aggressive appearance.
• Chondroblastoma: Periosteal reaction can be seen in up to 30% of patients, but is never sunburst or Codman triangle.
• Enchondroma:
• Osteoid osteoma:
• Lymphoma:
• Metastasis:

References

Gardner DJ, Azouz EM. Solitary lucent epiphyseal lesions in children. Skeletal Radiol. 1988;17(7):497-504.