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AJR Teaching File: Intermittent Claudication of the Lower Extremity in a Young Patient

Joseph B. Sutcliffe, III1 and Liem T. Bui-Mansfield

1 Both authors: Department of Radiology, Brooke Army Medical Center, 3851 Roger Brooke Dr., Fort Sam Houston, TX 78234.


Figure 1
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Fig. 1A 20-year-old male military trainee with intermittent right lower extremity claudication that occurs with running. Lateral knee radiograph shows sessile osseous mass arising from posterior aspect of right femur.

 

Figure 2
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Fig. 1B 20-year-old male military trainee with intermittent right lower extremity claudication that occurs with running. Sagittal gradient-echo MR image shows that the mass is composed of cortical and medullary bone which is continous with the cortex and medullary trabecula of the femur from which it arises. The mass is covered by a high-signal-intensity cartilaginous cap.

 

Figure 3
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Fig. 1C 20-year-old male military trainee with intermittent right lower extremity claudication that occurs with running. Axial fat-suppressed T2-weighted MR image shows posterior displacement and compression of distal superficial femoral artery (arrow) and distal superficial femoral vein (arrowhead) by osseous mass.

 

Figure 4
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Fig. 1D 20-year-old male military trainee with intermittent right lower extremity claudication that occurs with running. Lateral view of right lower extremity digital arteriogram shows posterior displacement and near occlusion of distal superficial femoral artery by the mass.

 

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