IMAGE OF THE WEEK 2012

WEEK 26

 

Calcaneal Intra-osseous Lipoma

 

 

 

Figure 1: X-ray of right foot showing calcaneal lesion.

(Click to enlarge picture)

Figure 2: Annotated X-ray of right foot showing calcaneal lesion.

(Click to enlarge picture)

 

 

An intra-osseous lipoma is an uncommon benign bone lesion, most frequently identified in long bones, but also seen in the calcaneum in up to 10% of cases.

 

Intra-osseous lipomas are located almost exclusively within the medullary cavity. They are composed of mature adipocytes.

 

In many cases it is found incidentally, although they can be symptomatic.

 

Plain film usually diagnostic with a well defined round lucent lesion with a thin sclerotic rim and a central focal area of sclerosis – sometimes referred to as a ‘bull’s eye’.

 

 

 

Images and text contributed and prepared by

Dr Ian Bickle, Department of Radiology,

All images are copyrighted and property of RIPAS Hospital.

 

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