Intraosseous lipoma

Case contributed by Naim Qaqish
Diagnosis almost certain

Presentation

Ankle pain

Patient Data

Age: 40 years
x-ray

There is well defined lucent bone lesion with sclerotic margins seen involving the calcaneus bone with some calcifications measures around two and a half by one and a half centimeters. CT scan is advised for better evaluation.

ct

There is well-defined lesion with sclerotic margin involving the anterior aspect of the calcaneus having fat attenuation (-86 HU) measuring around 3 x 2.5 cm in diameter with central amorphous calcifications.These findings are compatible with an iintra-osseous lipoma with central calcification.

A small plantar calcaneal spur is also noted.

No other bony abnormality could be seen.

Case Discussion

Incidental finding in asymptomatic patient undergoing foot x-ray for non-specific ankle pain.

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