Multiple bilateral and symmetrical osteochondromas - these are seen as bony outgrowths from metadiaphyseal aspect of the appendicular skeleton.
(Multiple myeloma and mets will show osteolytic lesions with bone destruction, while Fibroud dysplasia whos sclerotic areas, deformities and other characteristic findings)
MRI may be used to assess cartilaginous cap
Development of pain attributable to an exostosis is worrisome from sarcomatous degeneration
Complications:
Fracture
Vascular injury
Neurologic compromise
Bursa formation
Malignant transformation
