Meningioma (sphenoid wing - en plaque)

Discussion:

This patient presented with proptosis on the right and has imaging features characteristic of a sphenoid wing en plaque meningioma.  There is little differential, however (depending on the age) fibrous dysplasia, Paget's disease of bone and a sclerotic metastasis should be considered. 

This case was subsequently histologically confirmed as being a meningioma. 

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