A 32-year-old woman with a previous diagnosis of human immunodeficiency virus infection presented to her primary care provider in 2010 with a progressively enlarging mass in her proximal right forearm. The patient reported a limited range of motion with decreased extension and, to a lesser extent, decreased flexion because of physical obstruction created by the mass. She denied experiencing pain associated with the mass. The patient reported that the area had been injured when she was assaulted with a board several years before. There was no other pertinent medical history.
Imaging FindingsRadiography demonstrated a large, lytic lesion causing prominent expansile remodeling of the proximal ulna from the level of the metadiaphysis to the articular surface of the olecranon. The cortex was thin but well formed and intact (Fig 1). The lesion demonstrated trabecular thickening, coarse septa, and several well-circumscribed lucent ovoid foci with scattered peripheral internal regions of calcification but no calcified matrix suggestive of an osteoid or chondroid tumor. There was no adjacent soft-tissue mass.