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35 Possible Causes for Bone Spicules, Chest X-Ray Abnormal, Knee Pain

  • Osteosarcoma

    A characteristic ‘sun-ray’ effect of bone spicules is often visible on X-ray.[] pain.[] Wick: Foot osteoblastic Low grade sclerosing type Osteoblastic type with blue spiculated bone With infiltrative medullary growth Images hosted on other servers: Osteoblastic[]

  • Juxtacortical Osteosarcoma

    Periosteal osteosarcoma is also found of the surface of bone, but has a more spiculed appearance and may appear more aggressive.[] Because of the location in the popliteal fossa, the patient may note inability to flex the knee.[] Due to its higher spatial resolution than MRI, CT is superior for demonstrating characteristic overhanging bone spicules.[]

  • Multiple Myeloma

    This fluid is predominantly blood, but mixed in are bone marrow particles (spicules) which are then spread onto glass slides, stained, and examined by hematologists and pathologists[] CASE REPORT A 56-year-old man with multiple myeloma presented with chronic polyarticular pain and swelling.[] After local, and sometimes mild systemic anesthesia, a needle is inserted into the bone and fluid is removed (aspirated).[]

  • Ewing's Sarcoma

    Uncommon features included epiphyseal involvement (4%), sclerosis (4%), expansion of bone (8%), sunray spiculation (10%), calcification in soft tissue (8%), saucerization[] Patellar tumors occur infrequently and represent an uncommon etiology of anterior knee pain.[] It may be spiculated and interrupted - sometimes there is a Codman's triangle.[]

  • Ewing Family of Tumors

    It may be spiculated and interrupted - sometimes there is a Codman's triangle.[] Aggressive periosteal reaction This type of periostitis is multilayered, lamellated or demonstrates bone formation perpendicular to the cortical bone.[] A Codman's triangle refers to an elevation of the periosteum away from the cortex, forming an angle where the elevated periosteum and bone come together.[]

  • Osteoblastoma

    Benign osteoblastoma is a rare bone tumour characterised histologically by the production of woven bone spicules, which are bordered by prominent osteoblasts.[] They present clinically with severe pain in the anterior knee or an obvious growth of soft tissue.[] Histology confirmed a benign osteoblastoma that was composed of proliferating osteoblasts with woven bone spicules and rich vascular stroma.[]

  • Sarcoma of the Lung

    There was no evidence of bone destruction, chest wall invasion, or calcification.[] An abnormal shadow was detected in the right upper lung field included in the irradiated field on chest X-ray.[] Observation A 57-year-old woman was explored for chest pain for 6 months.[]

  • Traumatic Pneumothorax

    However, if there are bone spicules stuck in the lung or more complicated parenchymal injuries from penetrating injury, they may never completely heal.[] They may tap on their chest to check for abnormal sounds or listen to their breathing through a stethoscope.[] A 33-year-old woman presented to our ED complaining of right knee and right lateral chest wall pain after falling. Her breath sounds were reported as normal.[]

  • Chondrosarcoma

    (SKB) Clear cells, giant cells and bone spicules. (SKB) The lesion also had areas of more conventional chondrosarcoma.[] The chief complaints were painful swelling and limitation of motion of the right knee for about half a year. The pain was a kind of dull ache.[] Figure 2 Figure 2: Cartilaginous neoplasm penetrates through cortical bone and invades between bone spicules.[]

  • Pulmonary Metastasis

    The other variant is a frond-like periosteal reaction consisting of bony spicules invading the soft tissues. [12] Bone is rare, is seen in up to 6–37% of the cases. [13] The[] A 66-year-old Japanese woman was found to exhibit an abnormal shadow on a chest X-ray. She had undergone a left mastectomy for breast cancer 18 years previously.[] […] of left knee, X-ray,CT, MRI and bone scan tests found a sub-articular lucent lesion with clear boundaries on the left distal femoral bone.[]

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