Sphenoid bone fibrous dysplasia

Case contributed by Huda B. Gharbia
Diagnosis almost certain

Presentation

Headache, visual disturbance

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Coronal
bone window
This study is a stack
Sagittal
bone window
This study is a stack
Axial bone
window
This study is a stack
Axial
non-contrast
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Info

Note is made of bone expansion, with ground-glass opacity in the sphenoid sinus region with sclerotic rim, involving the base of the skull, causing regional mass effect, obliterating both sphenoid sinuses, indenting the left optic canal,  subsequently compressing intracanalicular part of the optic nerve.

 

Case Discussion

Ground-glass attenuation of sphenoid bone likely sphenoid bone fibrous dysplasia.

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