Presentation
Motor vehicle accident.
Patient Data
Left parietal scalp hematoma.
Signs of known Gorlin-Goltz syndrome:
mild macrocephaly and frontal bossing
falcine, tentorial and mild petroclival ligament calcification
bridging of the sella turcica
maxillary odontogenic keratocysts, contiguous with the maxillary sinuses
status post removal of basal cell carcinoma from the left parietal scalp, superior to the hematoma
Pineal gland measuring 13 x 16 x 10 mm, with a large cystic component isodense to CSF and peripheral calcification - may represent a pineocytoma.
Status post bilateral maxillary antrostomy, posterior ethmoidectomy, and inferior turbinectomy. The bony walls of the maxillary sinuses are markedly thickened, as is the mucosa.
Chest x-ray from the same day as the CT.
Chest unremarkable.
Bifid right 2nd rib - additional sign of Gorlin-Goltz syndrome.
Case Discussion
Known diagnosis of Gorlin-Goltz syndrome with relatively mild manifestations.