Intraosseous lipoma

Case contributed by Dr Hani Makky Al Salam

Patient Data

Age: Adult
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

x_ray

A homogeneous lucent intramedullary bone lesion is seen at the intertrochanteric metadiaphyseal region of the left femur.

ct

An intramedullary lesion is noted at the intertrochanteric metadiaphyseal region of the left femur. It has a homogeneous hypodense texture with fat-density, intact thin sclerotic bone boundary and no post-contrast enhancement. 

DIstribution of intraosseous lipomas

Diagram

Distribution of intraosseous lipomas.

Layout and distribution: Frank Gaillard 2012, Line drawing of skeleton: Patrick Lynch 2006, Creative Common NC-SA-BY

Case Discussion

Intraosseous lipomas have a characteristic appearance on imaging studies. They do not have malignant potential and hardly ever lead to pathologic fractures. They belong to the classical "don't touch" lesions of the bone.

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