EURORAD ESR

Case 15125

Cheilitis Granulomatosa: Radiopathological view

Author(s)
Samson Kade1, Harisha V1, Sharath Kumar GG1, Ashish Rudrawadi1, Raghavendra Prakash 2, Pradeep YV 3, Swarna shivakumar 4

Apollo Speciality Hospital ; Jayanagar 560011 Bangalore India ; Email:drsam03bmc@gmail.com

1.Radiologist, Department of Radiology and Imaging sciences, Apollo Speciality Hospital, Jayanagar, Bangalore -560011
2.Physician, Department of Internal Medicine, Apollo Speciality Hospital, Jayanagar, Bangalore -560011
3.Plastic surgeon, Department of Plastic and Reconstructive surgery, Apollo Speciality Hospital, Jayanagar, Bangalore -560011
4.Pathologist, Department of pathology, Apollo Speciality Hospital, Jayanagar, Bangalore0560011
 
Patient
male, 19 year(s)
 
 
  • Figure 1
    Patient with bilateral lip swelling.

    Patient with bilateral lip swelling predominantly involving the upper lip.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: PACS; Procedure: Education; Special Focus: Oedema;
     
     
  • Figure 2
    Axial T1W images of lips.
     

    Axial T1W image of upper lip shows low signal intensity in swollen lip.

     
    Area of Interest: Musculoskeletal soft tissue; Soft tissues / Skin; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;

    Axial T1W image of lower lip shows low signal intensity in swollen lip.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 3
    Coronal and sagittal T2W images of lips.
     

    Coronal T2W image shows iso to high signal intensity in both swollen lips.

     
    Area of Interest: Musculoskeletal soft tissue; Soft tissues / Skin; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;

    Sagittal T2W scan shows iso to high signal intensity in swollen lips.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 4
    Axial STIR image .

    Axial STIR image of swollen lip shows high signal intensity.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 5
    Axial GRE image.

    Axial GRE image of lip shows no evidence of bleed/vascular malformation.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 6
    Axial and sagittal contrast T1W images.
     

    Axial contrast enhanced T1W image show significant enhancement of swollen lip.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;

    Sagittal contrast enhanced T1W image show significant enhancement of swollen lip.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Inflammation;
     
     
  • Figure 7
    Low and high power magnification images from lip biopsy.
     

    H & E 10X ; Lip biopsy shows aggregates of non caseating epitheliod cell granulomas. No evidence of malignancy.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: PACS; Procedure: Biopsy; Special Focus: Tissue characterisation;

    H & E 40X ; Lip biopsy shows aggregates of non caseating epitheliod cell granulomas. No evidence of malignancy.

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: PACS; Procedure: Biopsy; Special Focus: Tissue characterisation;
     
     
Patient with bilateral lip swelling predominantly involving the upper lip.
 
Axial T1W image of upper lip shows low signal intensity in swollen lip.
 
Axial T1W image of lower lip shows low signal intensity in swollen lip.
 
Coronal T2W image shows iso to high signal intensity in both swollen lips.
 
Sagittal T2W scan shows iso to high signal intensity in swollen lips.
 
Axial STIR image of swollen lip shows high signal intensity.
 
Axial GRE image of lip shows no evidence of bleed/vascular malformation.
 
Axial contrast enhanced T1W image show significant enhancement of swollen lip.
 
Sagittal contrast enhanced T1W image show significant enhancement of swollen lip.
 
H & E 10X ; Lip biopsy shows aggregates of non caseating epitheliod cell granulomas. No evidence of malignancy.
 
H & E 40X ; Lip biopsy shows aggregates of non caseating epitheliod cell granulomas. No evidence of malignancy.
 
 
 
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