Any idea about this tumor in a 14y old female?
Stationary in size in the last 6 month
Well defined, sclerosing margins, I would say OTRADS II, but I worry about the intense heterogeneity inside.
And also there is sort of a lipomatous halo around the tumor visible in T1 and T2 which puzzles me.
Thank you!
[gallery]
sorin.ghiea
Hi everyone!
It’s a bit late my response but:
I received the following opinions, and thank you all for your time
I decided to report as predominantly benign imaging characteristics, but I
recommended biopsy.
The patient and the orthopedist understood that even if it is benign, the
treatment might be different between types of tumors.
So…once I have the pathology report, I will notify you.
Thanks again!!
Sorin
*1. Think fibrous dysplasia look at groundglass also in fibulaFD is very
confusing non MRI2. osteofibrous dysplasiacan’t exclude osteofibrous
dysplasia-like adamantinoma on imaging, though very unlikely.3 I would
consider chondromyxoid fibroma.4. OT-RADSIVbiopsyedema-adc restriction5.
’ve seen examples of fibrous cortical defect with internal cystic change
that later gets ossified 389590-overviewThe ADC restriction is worrisome.
Please post any bx or followup results thanks6. Lipoma with cystic and
sclerotic changes?*
OT-RADSIV
biopsy
edema-adc restriction
Best!
AC
Avneesh Chhabra, M.D. M.B.A.
Professor, Radiology & Orthopedic Surgery
Chief, Musculoskeletal Radiology
Department of Radiology
5323 Harry Hines, Blvd. Dallas, Tx-75390-9316
Office: 214-648-2122
http://www.utsouthwestern.edu/radiology<http://www.utsouthwestern.edu/education/medical-school/departments/radiology/>
EXTERNAL MAIL
Hi, dear OCADERS,
Any idea about this tumor in a 14y old female?
Stationary in size in the last 6 month
Well defined, sclerosing margins, I would say OTRADS II, but I worry about the intense heterogeneity inside.
And also there is sort of a lipomatous halo around the tumor visible in T1 and T2 which puzzles me.
Thank you!
[gallery]
Hi everyone!
It’s a bit late my response but:
I received the following opinions, and thank you all for your time
I decided to report as predominantly benign imaging characteristics, but I
recommended biopsy.
The patient and the orthopedist understood that even if it is benign, the
treatment might be different between types of tumors.
So…once I have the pathology report, I will notify you.
Thanks again!!
Sorin
*1. Think fibrous dysplasia look at groundglass also in fibulaFD is very
confusing non MRI2. osteofibrous dysplasiacan’t exclude osteofibrous
dysplasia-like adamantinoma on imaging, though very unlikely.3 I would
consider chondromyxoid fibroma.4. OT-RADSIVbiopsyedema-adc restriction5.
’ve seen examples of fibrous cortical defect with internal cystic change
that later gets ossified 389590-overviewThe ADC restriction is worrisome.
Please post any bx or followup results thanks6. Lipoma with cystic and
sclerotic changes?*
[gallery]
Biopsy done: Fibrous Dysplasia