This is a characteristic appearance of medullary bone infarcts. Most commonly they are in the diaphysis and metaphysis but in this case they also extend to the epiphysis.
The important think to note here is that its involving multiple areas. When there are multiple locations, think of an underlying cause such as SLE (vasculitis) or steroids.
This site is intended for Medical Professionals only. Use of this site is governed by our Terms of Service and Privacy Statement which can be found by clicking on the links. Please accept before proceeding to the website.