Illustrative CasesThe 2009 PEMpix Photo Competition Award Winner: David Kessler, MD, MSc: Hey Doc, What's This Bump?: A 3-Month-Old Male Infant With Tender Bony Growths on His ExtremitiesKessler, David MD, MScAuthor Information From the Division of Pediatric Emergency Medicine at Columbia University Medical Center/New York Presbyterian Morgan Stanley Children's Hospital of New York, New York, NYC. Reprints: David Kessler, MD, MSc, 622 West 168th St.-PH-137, NYC 10032 (e-mail: firstname.lastname@example.org). There are no disclosures, conflicts of interest, or funding sources. Pediatric Emergency Care: November 2010 - Volume 26 - Issue 11 - p 854-855 doi: 10.1097/PEC.0b013e3181fb5c52 Buy SDC Metrics Abstract This is a case report of an infant with bony growths and pain. Differential diagnosis of this chief complaint and the management of the suspected condition are discussed. This case was presented at the Section of Emergency Medicine Meeting at the National Conference and Exhibition of the American Academy of Pediatrics in 2009 and was awarded first place in the PEMpix photo competition. © 2010 Lippincott Williams & Wilkins, Inc.