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April 2004

By Theodore E . Keats, MD

 
 

The mother of a two-year-old child is concerned about a bump in the parietal area of her child's skull. What is your interpretation of the lateral projection of the skull?

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The correct diagnosis is eosinophilic granuloma, of which this "punched out" lesion with beveled edges and lack of bony reaction is typical. The calvarial lesion is usually confined to the bone but may extend intracranially. In the skull, it is often a solitary lesion but may be part of a larger picture of histiocytosis. 


 

This series of diagnostic quizzes that challenge your ability to read a variety of x-ray films is edited by Dr. Keats, alumni professor of radiology at the University of Virginia School of Medicine in Charlottesville.

Emerg Med 36(4):55, 2004  



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