Aneurysmal bone cyst - with pathological fracture

Case contributed by Dr Mohamed Mansour


Right upper femoral pain after minor trauma.

Patient Data

Age: 8 years
Gender: Male

A large well-defined multiloculated expansile osteolytic lesion is seen involving the right femoral neck and upper shaft measuring about 9 x 4 cm along its maximum diameters eliciting low signal in T1, high signal in T2/STIR with small locule eliciting low signal in T2 weighted images seen within.

Oblique fracture line is seen traversing its lateral aspect associated with extra-osseous fluid collection extending around the lesion and encasing the femoral shaft in addition to edematous changes of the surrounding musculature. 

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Case information

rID: 44856
Published: 12th May 2016
Last edited: 10th Feb 2021
Inclusion in quiz mode: Included

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