Abstract
A Symptomless condition in which flocculent shadows in the ends of long bones, especially the femur, are shown on an X-ray plate has been described by several observers. Brailsford1 writes: “In the lower third of the medulla of the shaft of the femur it is not unusual to see collections of calcium. These are indicative of healed inflammatory foci, probably tuberculous in origin. Barsony and Schulhof, Campbell, Kartal and Salinger have published similar radiograms.” Two examples of this condition are described, and in one of them an operation (now admitted to have been needless) established the nature of the condition. The first case is illustrated in Fig. 1. This was a petty officer of 46, who was X rayed because of mild arthritic symptoms in his knees. The finding of the unusual shadows in the X-ray film of the lower end of his left femur was fortuitous. The skiagram shows an irregular deposition of opaque material in the centre of the lower end of the bone without any obvious effect on the surrounding cancellous bone. There is not any distortion of the outline of the shaft or sign of periosteal reaction. It was not producing any symptoms and no treatment was given.
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