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It could mean many things, but probably is just an anomaly showing a small thick portion in the bone. No one's bones are perfectly smooth and any ridge or line on the bone will cause it to be slightly thicker, therefore more "radio-opaque" (less x-rays get through), which results in a lighter area on the exposure of the film. The simplest answer is that it represents more mineral in the path of the x-rays Obviously if there are some clinical symptoms there could be more to it!

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