A female patient under treatment for acute leukemia complaints of bilateral knee pain.

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Hyperuricemia is a possibility

Thank you Sir.
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i feel there is a little patchy softening seen in the femur in the centre seen only in lateral view..

Oaduetohyperuricemiaisapossibillit Y

There is osteolytic lesion over lower end of the femur and the patient on chemo so most likely osteosarcoma,diaphysis involvement may be the cause of pain.

Spiking of tibial spine with narrowing of joint space on both sides suggests OA

Minimal narrowing of both joint spaces noted with prominent intercondylar eminences in both tibia suggests O.A.changes,Otherwise no other bony lesion noted

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Spiking of tibial spines. No other bony abnormality detected.

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SPIKING OF TIBIAL SPINE , EARLY OSTEOARTHRITIS KNEE.

Sir Ji, b/knee joint x ray is wnl, go for swen/swedan and pachatikta gugul 2 bd x 15 days, अंग Physiotherapy..

OA both b/l knee w reducing joint space in medial compartment. But other reasons may be Leukemia or myelodysplastic syndromes (MDS)can cause bone or joint pain, usually because bone marrow has become overcrowded with cancer cells.check S.uric acid inflammatory markers etc

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