Intraosseous Lipomas Overview

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Questions and Answers

Intraosseous lipomas are often diagnosed without the presence of any symptoms.

True (A)

Intraosseous lipomas consistently exhibit a periosteal reaction on x-ray imaging.

False (B)

On MRI, intraosseous lipomas display low signal on T1-weighted images.

False (B)

The classic location for intraosseous lipomas is the calcaneum.

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On CT, the fat within intraosseous lipomas has high Hounsfield units.

<p>False (B)</p> Signup and view all the answers

Flashcards

Intraosseous lipoma

A benign bone tumor composed mainly of fat cells.

Where are intraosseous lipomas most commonly found?

A common location for intraosseous lipomas.

X-ray appearance of intraosseous lipomas

On x-ray, intraosseous lipomas appear as a light area in the bone with a thin outer edge and no signs of bone growth.

MRI appearance of intraosseous lipomas

Intraosseous lipomas show bright signal on T1 MRI images and disappear on fat suppression sequences.

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CT appearance of intraosseous lipomas

The presence of fat within the lesion will appear dark on CT scans.

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Study Notes

Intraosseous Lipomas

  • Benign lesions, frequently presenting with pain, but a third are found incidentally.
  • Common location is the calcaneum, but can occur anywhere in the body.
  • X-ray shows a lucent (radiolucent) bone lesion with a thin cortex and no periosteal reaction.
  • Some lesions show dystrophic calcifications.
  • MRI shows high signal on T1-weighted images and signal loss on fat-suppressed sequences.
  • The presence of granulation tissue may show higher signal on MRI.
  • Calcifications, if present, will appear as low signal on MRI.
  • CT shows the fat within the lesion as having low to negative Hounsfield units.

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