Intraosseous lipoma
Diagnosis almost certain
Updates to Quizquestion Attributes
Answer
was changed:
According to the Milgram classification.Type 1: sharply delineated, viable lipomas with homogeneous fat contentType 2: predominantly fatty lesions with central necroses, calcifications or ossificationsType 3: heterogeneous, fat-containing lesions with multiple necroses, cystic transformations, wall sclerosis, and extensive calcifications or ossifications.
Updates to Quizquestion Attributes
Answer
was changed:
Most are in the lower limb (71%) with the most common locations being the calcaneum (32%) and the femur (20% - especially the intertrochanteric region).
Updates to Study Attributes
Findings
was added:
Distribution of intraosseous lipomas.
Layout and distribution: Frank Gaillard 2012, Line drawing of skeleton: Patrick Lynch 2006, Creative Common NC-SA-BY
Images Changes:
Image Diagram ( update )
Description
was removed:
Updates to Study Attributes
Findings
was added:
An intramedullary lesion is noted at the intertrochanteric metadiaphyseal region of the left femur. It has a homogeneous hypodense texture with aft density, intact thin sclerotic bone boundary and no post-contrast enhancement.
Images Changes:
Image CT (C+ portal venous phase) ( update )
Description
was removed:
Perspective
was set to
Coronal.
Specifics
changed from to C+ portal venous phase.
Image CT (bone window) ( update )
Description
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Perspective
was set to
Coronal.
Specifics
changed from to bone window.
Image CT (bone window) ( update )
Perspective
was set to
Axial.
Image CT (C+ portal venous phase) ( update )
Perspective
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Axial.
Specifics
changed from C+ delayed to C+ portal venous phase.
Image 3 CT (C+ portal venous phase) ( update )
Position
was set to
.
Updates to Study Attributes
Findings
was added:
A homogeneous lucent intramedullary bone lesion is seen at the intertrochanteric metadiaphyseal region of the left femur.
Images Changes:
Image X-ray (Frontal) ( update )
Description
was removed:
Updates to Case Attributes
Body
was changed:
Intraosseous lipomas have a characteristic appearance on imaging studies. They do not have malignant potential and hardly ever lead to pathologic fractures. They belong to the classical "don"don't touch" lesions of the bone.
-<p>Intraosseous lipomas have a characteristic appearance on imaging studies. They do not have malignant potential and hardly ever lead to pathologic fractures. They belong to the classical "don't touch" lesions of the bone.</p>- +<p>Intraosseous lipomas have a characteristic appearance on imaging studies. They do not have malignant potential and hardly ever lead to pathologic fractures. They belong to the classical "<a title="Do not touch bony lesions" href="/articles/leave-alone-lesions-skeletal">don't touch</a>" lesions of the bone.</p>
Age
was set to
Adult.
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