Intradiploic epidermoid - skull

Case contributed by Frank Gaillard
Diagnosis probable

Presentation

Scalp lump

Patient Data

Age: Adult
Gender: Male

Skull vault demonstrates a punched out lesion with the outer table affected more than the inner table.

MRI confirms the abnormality, which is of high T2 signal, low on FLAIR and demonstrates very high signal on DWI.

Case Discussion

Features are consistent with an intradiploic epidermoid.

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