Published in:
04-03-2023 | Test Yourself: Question
Question—Multiple lesions of the skull in a 30-month-old girl
Published in: Skeletal Radiology | Issue 7/2023
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History: Multiple lytic bone lesions in a 30-month-old girl and bilateral neck masses, fever and swollen facial tissue (Figs. 1, 2, 3, 4 and 5).
Fig.1
3D VRT CT-scanner reconstructions (A, B), coronal reconstruction with bone windowing at the mandibular level (C) and axial reconstruction with bone windowing at the level of the crista galli (D) of a 30-months-old girl with fever, impaired condition with cervical masses and swollen soft tissues on the right side of the face
Fig. 2
Relevant images from full skeletal survey showing punched out lesions of the scapula (A) and proximal femur and tibia (B)
Fig. 3
(A) Coronal contrast-enhanced CT scanner of the neck (B) 3D VRT of left scapular lesion
Fig. 4
MRI (1.5 Tesla) axial T2 weighted image (A) and contrast enhanced T1 weighted image (B) of the brain and skull. Axial T2 weighted image of the neck (C)
Fig. 5
Lymph node biopsy illustrated with (A, B) hematoxylin–eosin colouration and (C) immunohistochemistry CD1a
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