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Mysterious but not serious?
  1. Gayle Hann1,
  2. Stefanie Catherine Thust2,
  3. Emma Devereux1
  1. 1Paediatrics Department, North Middlesex University Hospital NHS Trust, London, UK
  2. 2Radiology Department, Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  1. Correspondence to Dr Gayle Hann, gaylehann{at}

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A previously well 13-year-old boy presented with a 3-month history of right-sided hip pain responding to simple analgesia. Physical examination and blood tests were unremarkable. A pelvic x-ray (figure 1) revealed multiple sclerotic lesions in both femora, worse on the asymptomatic left side (figure 2) with further lesions in the pelvis. Review of a previous x-ray taken for minor trauma 2 …

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