Bone tumors Quiz: Ace Your Exams

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A 15-year-old boy comes to the clinic with his parents due to progressive right leg pain. He first noticed it during basketball training, but after some time, it even occurred at rest. The pain is dull, 3/10, and often wakes him at night. Medical history is significant for an eye problem as a baby. The patient’s parents say that he was treated for strabismus and “white eye” as a baby, but they do not recall the details. The patient’s temperature is 37.8°C (100 °F), pulse is 80/min, and blood pressure is 125/85 mmHg. On physical examination, focal tenderness is noted over the right tibia. The rest of the physical examination is within normal limits. An x-ray of the right leg is shown below:  


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Which of the following is most likely to be found on further evaluation of this patient?  

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