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Calvarial Hemangioma

McCaddon MM - MedPix (2009)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Calvarial Hemangioma

History: 53 y/o man with history of basal cell carcinoma presents with painful lump on right forehead. Pt had similar lesion 9 years ago that was operated on by plastic surgery, no records available. Lesion has been very slow growing over past year, becoming more painful on deep palpation recently.

Findings: Skull Series: There is a small lesion adjacent to the right frontal sinus measuring 2.6 x 1.5 cm in size. This lesion has a partially sclerotic margin and no other significant osseous abnormality is seen. CT: There is an expansile intra-osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim with preservation of the trabeculae. There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction. MRI: Expansile lesion of the frontal bone. Low in signal on T1, high signal on T2, and avid enhancement post contrast. Foci of high signal on T1 are noted, most likely representing fat.

Ddx: • Calvarial Hemangioma • Eosinophilic Granuloma - wrong age group • Intraosseous Meningioma • Metastasis - unlikely since there is preservation of the trabeculae

Dxhow: Patient history and radiologic correlation to previous history of lesion.

Exam: PE: WDWN, NAD, 71”/205#, Vitals WNL/Stable; Noncontributory physical exam except palpation of 2x3cm bony lesion at right frontotemporal region of skull that is TTP. No neurological deficits. LABS: CBC, CMP, LFTs, Chol PNL all WNL, PSA 2.4 (stable).

No MeSH data available.


There is an expansile osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim and preservation of the trabeculae. . There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction.
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MPX1256_synpic50756: There is an expansile osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim and preservation of the trabeculae. . There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction.


Calvarial Hemangioma

McCaddon MM - MedPix (2009)

There is an expansile osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim and preservation of the trabeculae. . There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1256&req=5

MPX1256_synpic50756: There is an expansile osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim and preservation of the trabeculae. . There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Calvarial Hemangioma

History: 53 y/o man with history of basal cell carcinoma presents with painful lump on right forehead. Pt had similar lesion 9 years ago that was operated on by plastic surgery, no records available. Lesion has been very slow growing over past year, becoming more painful on deep palpation recently.

Findings: Skull Series: There is a small lesion adjacent to the right frontal sinus measuring 2.6 x 1.5 cm in size. This lesion has a partially sclerotic margin and no other significant osseous abnormality is seen. CT: There is an expansile intra-osseous lesion, measuring approximately 3.1 x 1.3 cm, in the right frontal bone, with a thin sclerotic rim with preservation of the trabeculae. There is an apparent disruption in the cortex anteriorly, which is well corticated and likely represents an enlarged feeding vessel. There is no periosteal reaction. MRI: Expansile lesion of the frontal bone. Low in signal on T1, high signal on T2, and avid enhancement post contrast. Foci of high signal on T1 are noted, most likely representing fat.

Ddx: • Calvarial Hemangioma • Eosinophilic Granuloma - wrong age group • Intraosseous Meningioma • Metastasis - unlikely since there is preservation of the trabeculae

Dxhow: Patient history and radiologic correlation to previous history of lesion.

Exam: PE: WDWN, NAD, 71”/205#, Vitals WNL/Stable; Noncontributory physical exam except palpation of 2x3cm bony lesion at right frontotemporal region of skull that is TTP. No neurological deficits. LABS: CBC, CMP, LFTs, Chol PNL all WNL, PSA 2.4 (stable).

No MeSH data available.