Thank you for referring Mr. Samuels to my office. I saw him on March 3, 2015. Mr. Samuels has a 4-month history of increasing pain in his right distal femur. He first noticed pain after being kicked in the leg at a soccer game and was evaluated in your office 3 weeks later for persistent pain. There was a soft tissue mass in his distal femur that was tender to touch. An x-ray was performed to rule out a fracture or chronic osteomyelitis. The x-ray showed both osteolysis of the metaphysis and periosteal new bone formation. Labs were drawn including CBC, CPK, and ESR. He was referred to my office for further evaluation of the x-ray findings. According to the note, which of the following statements is NOT true?

a) The patient's pain began after a traumatic event.
b) An x-ray was performed to evaluate the patient's condition.
c) The x-ray showed osteolysis and periosteal new bone formation.
d) Labs drawn included CBC, CPK, and ESR.