Osteopoikilosis is a benign, asymptomatic sclerotic dysplasia of the bones. it affects both male and female and may be seen at any age. radiographically sclerotic circular or ovoid lesions are usually symmetrically distributed in a periarticular location. lesions can increase or decrease in size and number in serial radiographs or even disappear and do not have increased bone radiotracer uptake. [https://orcid.org/0009-0006-4530-3154]