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Cystic lesion of the calcaneus. Intraosseous lipoma
Authors:Revenga Martínez Marcelino  Bachiller Corral Francisco Javier  Rubio García Javier  Muñoz Beltrán María  Zea Mendoza Antonio C
Affiliation:1. Servicio de Reumatología. Hospital Universitario Ramón y Cajal. Madrid. España;2. Servicio de Radiodiagnóstico. Hospital Universitario Ramón y Cajal. Madrid. España;1. Servicio de Reumatología, Hospital Universitario Ramón y Cajal, Madrid, España;2. Servicio de Radiodiagnóstico, Hospital Universitario Ramón y Cajal, Madrid, España;1. Laboratorio Nacional de Energia e Geologia IP, Estrada do Paço do Lumiar, 22, 1649-038 Lisboa, Portugal;2. MIT Portugal Program, IST-Tagus Park, Av. Professor Cavaco Silva, 2744-016 Porto Salvo, Portugal;3. CIEMAT-Plataforma Solar de Almería, Ctra. de Senés s/n, 04200 Tabernas, Almería, Spain;4. University of Deusto, Avenida de las Universidades, 24, 48007, Bilbao, Spain;1. Department of rheumatology, Ramón y Cajal University Hospital, Ctra. Colmenar Viejo, Km 9,100. PC 28034, Madrid. Spain;2. Department of otorhinolaryngology, Ramón y Cajal University Hospital, Ctra. Colmenar Viejo, Km 9,100. PC 28034, Madrid. Spain
Abstract:
We report two cases of intraosseous lipoma in the calcaneus of a 38 year old man, complaining about heel pain and a 27 year old woman with no pain. Plain radiographs showed a well-defined cystic lesion in the calcaneus with sclerotic margins. Computed tomography (CT) detected a well-defined, low-density lesion with attenuation values equal to adipose tissue. Magnetic resonance (MR) findings show similar signal intensity with subcutaneous adipose tissue on T1-weighted and T2-weighted images, and STIR-T2 imaging showing low signal intensity with complete suppression indicating the presence of normal fat. As a result, at first intraosseous lipomas could only be identified pathologically, but now it is easy to perform radiological diagnosis using MR.
Keywords:
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