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Bizarre parosteal osteochondromatous proliferations

“ Osteochondroma-like lesion (also known as a Nora lesion) that is more common from 30-40 years of age. It is characterised by the presence ...

Osteochondroma-like lesion (also known as a Nora lesion) that is more common from 30-40 years of age. It is characterised by the presence of heterotopic ossification arising from but not disrupting the cortical bone. Unlike an exostosis, there is no medullary continuity.
Plain film

•  Soft tissue swelling then florid periostitis (aggressive pattern).
•  Similar appearance to a broad-based exostosis, but not angulated away from the joint and no medullary continuity.