Calcaneal lipoma

Case contributed by Dr Varun Babu


Lytic calcaneal lesion detected on radiograph.

Patient Data

Age: 70 years
Gender: Male

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. 

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Case information

rID: 60086
Published: 21st Jun 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included
Institution: Vivid Diagnostic Centre

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