EURORAD ESR

Case 10386

Brown tumours in regression mimicking sclerotic metastases

Author(s)
Kalovidouri Anastasia, Tchernin David, Syrogiannopoulou Aphroditi

Geneva University Hospitals,
Department of Imaging,
Rue Gabrielle-Perret-Gentil n.4,
CH-1211 Geneva 14, Switzerland
 
Patient
male, 36 year(s)
 
 
  • Figure 1
    CT images in the axial plane without iv contrast medium

    Sclerotic lesions of the T9 vertebral body, the right iliac wing, the left sacral wing and the body of the left iliac bone, and a mixed lytic and sclerotic lesion of the left ilio-pubic ramus.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders; Neoplasia;
     
     
  • Figure 2
    AP radiograph of the pelvis on 15.01.2010

    AP radiograph of the pelvis on 15.01.2010 showing the multiple sclerotic lesions (right iliac wing, left iliac bone and left femoral head) and the heterogeneous mixed lytic and sclerotic lesion of the left pubic body.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders; Neoplasia;
     
     
  • Figure 3
    AP radiograph of the pelvis on 06.12.2007

    AP radiograph of the pelvis, 06.12.2007. No abnormality is visible.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders; Neoplasia;
     
     
  • Figure 4
    MRI T1 weighted and STIR weighted images

    MRI T1 weighted and STIR weighted images show a heterogeneous lesion of the left pubic body with decreased signal intensity on T1 weighted images and increased signal intensity on STIR weighted images.

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders; Neoplasia;
     
     
  • Figure 5
    Comparison between abdominal CT on 10.05.2010 and 12.10.2010, without iv contrast medium

    Comparison between abdominal CT on 10.05.2010 and 12.10.2010, (images in the axial plane obtained with bone window settings) shows sclerotic transformation of the heterogeneous mixed lytic and sclerotic lesion of the...

     
    Area of Interest: Musculoskeletal system; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Metabolic disorders; Neoplasia;
     
     
Sclerotic lesions of the T9 vertebral body, the right iliac wing, the left sacral wing and the body of the left iliac bone, and a mixed lytic and sclerotic lesion of the left ilio-pubic ramus.
 
AP radiograph of the pelvis on 15.01.2010 showing the multiple sclerotic lesions (right iliac wing, left iliac bone and left femoral head) and the heterogeneous mixed lytic and sclerotic lesion of the left pubic body.
 
AP radiograph of the pelvis, 06.12.2007. No abnormality is visible.
 
MRI T1 weighted and STIR weighted images show a heterogeneous lesion of the left pubic body with decreased signal intensity on T1 weighted images and increased signal intensity on STIR weighted images.
 
Comparison between abdominal CT on 10.05.2010 and 12.10.2010, (images in the axial plane obtained with bone window settings) shows sclerotic transformation of the heterogeneous mixed lytic and sclerotic lesion of the left pubic body.
 
 
 
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