Fibrous dysplasia - temporal bone

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Left hearing loss.

Patient Data

Age: 30 years
Gender: Male

Asymmetric expansion of the right petrous temporal bone, mainly along the petrous ridge, with a ground-glass appearance of the bone matrix. Otic capsule structures, internal acoustic canal, middle ear cleft, external ear canal and mastoid air cells appear unaffected. 

Case Discussion

This is an incidental finding of monostotic fibrous dysplasia on a petrous temporal bone CT. Compared to a CT brain from a year ago, there was no change. Temporal bone fibrous dysplasia is rare and is increasingly being discovered, as in this case, incidentally on imaging studies. 

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