MedPix® Patient Chart - Case No: 3838 :: Imaging - Review Images

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History

Age: 13 :: Gender: Male

Patient History

Left femoral pain.

Exam


Physical Exam and Laboratory


Imaging

Imaging - Review Images for PT: 3838

Findings


Summary of Findings

AP and Lateral of the left femur demonstrates an eccentric, cortically based lesion which is geographic with sclerotic borders and narrow zone of transition. The matrix has a lytic, ground glass appearance. There is endosteal scalloping and mild periosteal thickening.


Imaging

Imaging - Review Images for PT: 3838

Diffferential


Differential Diagnosis

Non-Ossifying Fibroma
Fibrous Dysplasia
Chondroma
Lipoma


Imaging

Imaging - Review Images for PT: 3838

Diagnosis


Case Diagnosis

Dx: Infarcted Intra-osseous Lipoma. Biopsy evaluated at AFIP.


Dx Confirmed by:



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History:
Left femoral pain.

Exam:


Findings:
AP and Lateral of the left femur demonstrates an eccentric, cortically based lesion which is geographic with sclerotic borders and narrow zone of transition. The matrix has a lytic, ground glass appearance. There is endosteal scalloping and mild periosteal thickening.

Differential:
Non-Ossifying Fibroma
Fibrous Dysplasia
Chondroma
Lipoma

Diagnosis:
Infarcted Intra-osseous Lipoma. Biopsy evaluated at AFIP.
Confirmed by:

Treatment and Followup:


Discussion:

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Case Contributor and Editor
Submitted by: Gregory R. Spurling - Author Info
Case/Image Editor: - Editor Info
Case Accepted: :: Revised: :: Submitted:
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