Solitary lucent skull lesion
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- updated 20 Aug 2022:
Nothing to disclose
Updates to Article Attributes
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Solitary lucent lesion of the skull is a relatively frequent finding. The differential is heavily influenced by the patient's age.
Older adult/elderly
- metastasis/malignancy
- epidermoid and dermoid
- haemangioma
- intraosseous meningioma
- solitary fibrous tumour (haemangiopericytoma)
- giant cell tumour (GCT)
- Brown tumour (osteitis fibrosa cystica)
- Paget disease of bone (osteoporosis circumscripta)
- osteomyelitis
- normal variant
- surgical defect, e.g. burr hole, craniectomy
Child/young adult
- eosinophilic granuloma/histiocytosis
- epidermoid/dermoid
- fibrous dysplasia
- haemangioma
- metastasis
- normal variant
- growing skull fracture
- meningocele
- osteomyelitis
- surgical defect
See also
-<p><strong>Solitary lucent lesion of the skull</strong> is a relatively frequent finding. The differential is heavily influenced by the patient's age.</p><h5>Older adult/elderly</h5><ul>-<li>metastasis/malignancy<ul>-<li><a href="/articles/breast-cancer">breast cancer</a></li>-<li><a href="/articles/lung-cancer-3">lung cancer</a></li>-<li><a href="/articles/malignant-melanoma">melanoma</a></li>-<li><a href="/articles/assessment-of-thyroid-lesions-general">thyroid cancer </a></li>-<li><a href="/articles/renal-cell-cancer-rcc">renal cell cancer</a></li>-<li><a href="/articles/multiple-myeloma-1">multiple myeloma</a></li>-</ul>-</li>-<li>-<a href="/articles/intradiploic-epidermoid-cyst-2">epidermoid</a> and <a href="/articles/dermoid-cyst">dermoid</a>-</li>-<li><a href="/articles/skull-vault-haemangioma">haemangioma</a></li>-<li><a href="/articles/intraosseous-meningioma">intraosseous meningioma</a></li>-<li>-<a href="/articles/solitary-fibrous-tumour">solitary fibrous tumour</a> (<a href="/articles/haemangiopericytoma-historical">haemangiopericytoma</a>)</li>-<li><a href="/articles/giant-cell-tumour-of-bone">giant cell tumour (GCT)</a></li>-<li>-<a href="/articles/brown-tumour">Brown tumour</a> (osteitis fibrosa cystica)</li>-<li>-<a href="/articles/paget-disease-bone">Paget disease of bone</a> (<a href="/articles/osteoporosis-circumscripta-cranii">osteoporosis circumscripta</a>)</li>-<li><a href="/articles/osteomyelitis">osteomyelitis</a></li>-<li>normal variant<ul>-<li><a href="/articles/arachnoid-granulation">arachnoid granulation</a></li>-<li><a href="/articles/venous-lake-skull">venous lake</a></li>-<li><a href="/articles/emissary-vein">emissary vein</a></li>-<li><a href="/articles/bilateral-thinning-of-the-parietal-bones">parietal thinning</a></li>-</ul>-</li>-<li>surgical defect, e.g. burr hole, <a href="/articles/craniectomy">craniectomy</a>-</li>-</ul><h5>Child/young adult</h5><ul>-<li>-<a href="/articles/langerhans-cell-histiocytosis-skeletal-manifestations-1">eosinophilic granuloma</a>/<a href="/articles/langerhans-cell-histiocytosis">histiocytosis</a>-</li>-<li>-<a href="/articles/intradiploic-epidermoid-cyst-2">epidermoid</a>/<a href="/articles/intracranial-dermoid-cyst-1">dermoid</a>-</li>-<li><a href="/articles/fibrous-dysplasia">fibrous dysplasia</a></li>-<li><a href="/articles/haemangioma">haemangioma</a></li>-<li>metastasis<ul>-<li><a href="/articles/neuroblastoma">neuroblastoma</a></li>-<li><a href="/articles/medulloblastoma">medulloblastoma</a></li>-<li><a href="/articles/leukaemia">leukaemia</a></li>-</ul>-</li>-<li>normal variant<ul>-<li><a href="/articles/arachnoid-granulation">arachnoid granulation</a></li>-<li><a href="/articles/venous-lake-skull">venous lake</a></li>-<li><a href="/articles/emissary-vein">emissary vein</a></li>-<li><a href="/articles/fontanelle">fontanelle</a></li>-</ul>-</li>-<li><a href="/articles/growing-skull-fracture">growing skull fracture</a></li>-<li><a href="/articles/congenital-spinal-meningocele">meningocele</a></li>-<li><a href="/articles/osteomyelitis">osteomyelitis</a></li>-<li>surgical defect</li>- +<p><strong>Solitary lucent lesion of the skull</strong> is a relatively frequent finding. The differential is heavily influenced by the patient's age.</p><h5>Older adult/elderly</h5><ul>
- +<li>metastasis/malignancy<ul>
- +<li><a href="/articles/breast-cancer">breast cancer</a></li>
- +<li><a href="/articles/lung-cancer-3">lung cancer</a></li>
- +<li><a href="/articles/malignant-melanoma">melanoma</a></li>
- +<li><a href="/articles/assessment-of-thyroid-lesions-general">thyroid cancer </a></li>
- +<li><a href="/articles/renal-cell-cancer-rcc">renal cell cancer</a></li>
- +<li><a href="/articles/multiple-myeloma-1">multiple myeloma</a></li>
- +</ul>
- +</li>
- +<li>
- +<a href="/articles/intradiploic-epidermoid-cyst-2">epidermoid</a> and <a href="/articles/dermoid-cyst">dermoid</a>
- +</li>
- +<li><a href="/articles/skull-vault-haemangioma">haemangioma</a></li>
- +<li><a href="/articles/intraosseous-meningioma">intraosseous meningioma</a></li>
- +<li>
- +<a href="/articles/solitary-fibrous-tumour">solitary fibrous tumour</a> (<a href="/articles/haemangiopericytoma-historical">haemangiopericytoma</a>)</li>
- +<li><a href="/articles/giant-cell-tumour-of-bone">giant cell tumour (GCT)</a></li>
- +<li>
- +<a href="/articles/brown-tumour">Brown tumour</a> (osteitis fibrosa cystica)</li>
- +<li>
- +<a href="/articles/paget-disease-bone">Paget disease of bone</a> (<a href="/articles/osteoporosis-circumscripta-cranii">osteoporosis circumscripta</a>)</li>
- +<li><a href="/articles/osteomyelitis">osteomyelitis</a></li>
- +<li>normal variant<ul>
- +<li><a href="/articles/arachnoid-granulation">arachnoid granulation</a></li>
- +<li><a href="/articles/venous-lake-skull">venous lake</a></li>
- +<li><a href="/articles/emissary-vein">emissary vein</a></li>
- +<li><a href="/articles/bilateral-thinning-of-the-parietal-bones">parietal thinning</a></li>
- +</ul>
- +</li>
- +<li>surgical defect, e.g. burr hole, <a href="/articles/craniectomy">craniectomy</a>
- +</li>
- +</ul><h5>Child/young adult</h5><ul>
- +<li>
- +<a href="/articles/langerhans-cell-histiocytosis-skeletal-manifestations-1">eosinophilic granuloma</a>/<a href="/articles/langerhans-cell-histiocytosis">histiocytosis</a>
- +</li>
- +<li>
- +<a href="/articles/intradiploic-epidermoid-cyst-2">epidermoid</a>/<a href="/articles/intracranial-dermoid-cyst-1">dermoid</a>
- +</li>
- +<li><a href="/articles/fibrous-dysplasia">fibrous dysplasia</a></li>
- +<li><a href="/articles/haemangioma">haemangioma</a></li>
- +<li>metastasis<ul>
- +<li><a href="/articles/neuroblastoma">neuroblastoma</a></li>
- +<li><a href="/articles/medulloblastoma">medulloblastoma</a></li>
- +<li><a href="/articles/leukaemia">leukaemia</a></li>
- +</ul>
- +</li>
- +<li>normal variant<ul>
- +<li><a href="/articles/arachnoid-granulation">arachnoid granulation</a></li>
- +<li><a href="/articles/venous-lake-skull">venous lake</a></li>
- +<li><a href="/articles/emissary-vein">emissary vein</a></li>
- +<li><a href="/articles/fontanelle">fontanelle</a></li>
- +</ul>
- +</li>
- +<li><a href="/articles/growing-skull-fracture">growing skull fracture</a></li>
- +<li><a href="/articles/congenital-spinal-meningocele">meningocele</a></li>
- +<li><a href="/articles/osteomyelitis">osteomyelitis</a></li>
- +<li>surgical defect</li>
Images Changes:
Image 9 CT (bone window) ( create )
![](https://prod-images-static.radiopaedia.org/images/59855985/ea747c3b02ea78bb0e8304c1ec1de176dbfcc56528a7869c5cb706be43bbba80_thumb.jpeg)