Calcaneal lipoma

Case contributed by Dr Varun Babu

Presentation

Lytic calcaneal lesion detected on radiograph.

Patient Data

Age: 70 years
Gender: Male
MRI

Well defined lesion is seen in Wards triangle of calcaneus with narrow zone of transition showing homogeneous fat signal intensity within getting suppressed on fat suppressed images. Central T1 and T2 signal loss seen suggestive of calcification typical of cockade sign

Case Discussion

One of the most common benign lesions of calcaneum. Identified usually between 30 - 70 years of age. Remains asymptomatic in a good number of patients and most often does not require any treatment. In the absence of central calcification, the lesion can be easily missed on a busy working day and should always be looked out for in the calcaneum. 

It is typically seen in Wards triangle, an area of lucency within the calcaneum in the region of base and neck wherein there is absence of trabecullae. When prominent, the lucency on radiographs can also appear as a pseudolesion. 

PlayAdd to Share

Case information

rID: 60086
Published: 21st Jun 2018
Last edited: 21st Jun 2018
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.