Fibrous cortical defect

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Incidental finding (x-rays not available).

Patient Data

Age: 12 years
Gender: Male
mri

Small well-defined lobulated cortical lesion of the lateral aspect of the distal tibial diaphysis (length = 22 mm) of heterogeneous low signal on T1 and T2, mixed signal on STIR with a peripheral sclerotic rim of low signal. No soft tissue component or periosteal reaction is seen. Normal appearance of the surrounding soft tissues.

Case Discussion

MRI features of a fibrous cortical defect.

Fibrous cortical defects (FCD) are one of the most common benign bone lesions. They are asymptomatic, discovered incidentally on x-rays, CT or MRI.

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