Leukemic lines (metaphyseal "bands" or lucency)

Anteroposterior radiograph of right knee in a 6-year-old patient presented with limp and hypercalcemia shows metaphyseal lucent lines (arrows), prompting bone marrow aspiration and yielding a diagnosis of pre B-cell acute lymphoblastic leukemia.

Reproduced with permission from: Krishnamurthy R, Daldrup-Link HE, Jones JY, et al. Imaging studies in the diagnosis and management of pediatric malignancies. In: Principles and Practice of Pediatric Oncology, 7th ed, Pizzo PA, Poplack DG (Eds), Wolters Kluwer Health, Philadelphia 2016. Copyright © 2016 Wolters Kluwer Health.

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Leukemic lines (metaphyseal "bands" or lucency)