Teenager who after bumping their leg 1 year ago has had a painful lump in the shin

Radiograph of osteosarcoma of the tibia
AP radiograph of the tibia and fibula (left) with a magnified view (right) shows a lesion in the diaphysis of the tibia with permeative cortical destruction and associated periosteal reaction and a Codman’s triangle.

The diagnosis was osteosarcoma of the tibia.