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Figure 1: (a) X-ray leg revealing an expansile lytic lesion in the distal right tibia associated with an undisplaced fracture. (b) MRI of the right leg showing a 5.5 × 2.5 × 2.3cm T2 hyperintense to isointense soft tissue intensity lesion located in the distal third shaft of tibia with cortical erosion and destruction. (c) Radionuclide whole body scan showing increased tracer uptake in the lower third shaft of right tibia with physiological distribution in rest of the skeleton. (d) CT scan of abdomen and pelvis showing bilateral renal masses

Figure 1: (a) X-ray leg revealing an expansile lytic lesion in the distal right tibia associated with an undisplaced fracture. (b) MRI of the right leg showing a 5.5 × 2.5 × 2.3cm T2 hyperintense to isointense soft tissue intensity lesion located in the distal third shaft of tibia with cortical erosion and destruction. (c) Radionuclide whole body scan showing increased tracer uptake in the lower third shaft of right tibia with physiological distribution in rest of the skeleton. (d) CT scan of abdomen and pelvis showing bilateral renal masses