Polyostotic fibrous dysplasia - on MRI
Bilateral hip pain
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Bilateral femoral metadiaphyseal intramedullary eccenteric lesions, these lesions exhibit low signal in T1 and bright signal in T2/STIR. No cortical destruction, pathological fracture or periosteal elevation. No soft tissue extension.
Features consistent of polyostotic fibrous dysplasia. (Histologically proven)
The case reported that she had endocrinal abnormalities in form of disturbed menstrual cycle. On examination she had few cafe au lait spots over her thighs.
- Fitzpatrick KA, Taljanovic MS, Speer DP et-al. Imaging findings of fibrous dysplasia with histopathologic and intraoperative correlation. AJR Am J Roentgenol. 2004;182 (6): 1389-98. doi:10.2214/ajr.182.6.1821389 - Pubmed citation
- Shah ZK, Peh WC, Koh WL et-al. Magnetic resonance imaging appearances of fibrous dysplasia. Br J Radiol. 2005;78 (936): 1104-15. Br J Radiol (full text) - doi:10.1259/bjr/73852511 - Pubmed citation