A 43-year-old prison guard man presented with right knee pain for 3 months following prolonged standing at work (Figs. 1, 2, 3 and 4).

Fig. 1
figure 1

(a) Lateral radiograph and (b) computed tomography of the right knee reconstructed in the sagittal plane

Fig. 2
figure 2

Magnetic resonance imaging. Axial T1-weighted imaging with fat saturation before (a) and after intravenous gadolinium injection (b)

Fig. 3
figure 3

(a) Axial diffusion-weighted imaging (DWI), (b) apparent diffusion coefficient (ADC) map of the right knee. (c) Axial color coded semi-quantitative map and (d) time-signal intensity curve (red curve is from the solid portion of the lesion and the yellow curve is from popliteal artery)

Fig. 4
figure 4

(a) Histopathological photomicrographs (hematoxylin and eosin staining) at 400 × power and (b) immunohistochemistry analysis for S100 protein at 100 × power