Intraosseous lipoma

Case contributed by Shervin Sharifkashani
Diagnosis almost certain

Presentation

Vague pain in the plantar aspect of the right foot.

Patient Data

Age: 40 years
Gender: Male
ct

A narrow transitional zone sclerotic margin lytic bone lesion with central ossification and radiating bony septa from this central focus to the periphery of the lesion is located within the middle to the anterior segment of the calcaneus. The density of the lesion is up to -37HU in non-ossified parts. No obvious associated soft tissue mass.

Case Discussion

The case illustrates a calcaneus lipoma with the classical feature of intraosseous lipoma called cockade sign which is central ossification/calcification of the lesion.

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