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Musculoskeletal · SBAHard
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A 14-year-old boy presents with several weeks of knee pain. A radiograph shows an eccentric, expansile, purely lytic lesion in the proximal tibial metaphysis with a narrow zone of transition and no internal matrix mineralisation; the physis is open and not crossed. MRI demonstrates multiple fluid–fluid levels with no solid enhancing nodularity. What is the single most likely diagnosis?

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