A 21-yr-old woman with pain and swelling in thigh*
A 21-year-old woman presented to the emergency department with an 8-month history of swelling and pain in the right thigh.
MRI of the right leg revealed a large periosteal femoral mass and thrombus in the right femoral vein, for which she received anticoagulation therapy. The patient subsequently experienced dyspnea and pleuritic chest pain, and a chest x-ray was done.
What is the likely diagnosis?
A. Pulmonary embolism
B. Pulmonary sarcoidosis
C. Eosinophilic granulomatosis with polyangiitis
D. Chondroblastic osteosarcoma
E. Miliary tuberculosis
*The present case has been reported in NEJM