Subperiosteal hematoma of the iliac bone

Case contributed by Dr Salem Bauones

Presentation

Incidental finding.

Patient Data

Age: 20
Gender: Male

Unenhanced CT images show an ossified lens-shaped lesion of the right iliac bone on its medial aspect. It represents the subacute phase of sub-periosteal hematoma with ossified periosteum on the sides of the hematoma (lytic lesion) and preserved iliac cortex which is called "ghost native cortex".

MR images show lens-shaped lesion of the medial aspect of right iliac bone, presenting fluid signal intensity (hypointense on T1W and hyperintense on T2W). Note the smooth edge of the periosteal ossification which presents the same signal intensity as the iliac bone and shifts the iliacus muscle medially.

Case Discussion

Findings are suggestive of subperiosteal hematoma of the iliac bone.

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Case information

rID: 26526
Published: 26th Dec 2013
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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