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Leave alone lesions - skeletal

Last revised by Henry Knipe on 3 May 2024

Skeletal leave alone lesions, also called “do not touch” lesions, are so characteristic radiographically that further diagnostic tests such as a biopsy are unnecessary and can be frankly misleading and lead to additional unnecessary surgery. Thus a radiologic diagnosis should be made without a list of differential possibilities.

These lesions can be divided into three categories - post-traumatic lesions, normal variants, and lesions that are real but obviously benign.

Post-traumatic lesions

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