Bone lesions of the tibia are encountered commonly in radiology practice.

The range of pathologies is large and it can be difficult to reach a diagnosis based upon conventional radiographic features alone. Cross-sectional imaging (CT and MRI) can help narrow down the differential and in many cases provide a definitive diagnosis.

We present a pictorial review of the imaging features a comprehensive range of pathologies involving the tibia on conventional radiography, CT and MRI and discuss features to aid accurate diagnosis.