The patient is generally healthy. She is currently taking no medicines. There is no family history of bone lesions or bone tumors. On detailed examination, the patient is in no acute distress, and is oriented to time, place, and person. Examination of the right knee shows normal appearance. There is no effusion. There is no erythema or swelling, no ecchymosis or bruising noted. The alignment of the knee is normal. The range of motion is full. In the proximal tibia there is no mass palpable. There is no tenderness over the proximal bone. There is no erythema or sign of inflammation. There is no popliteal adenopathy, no inguinal adenopathy, and no cervical adenopathy. The skin is normal and there is no cafe au lait spots.