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April 2004
By Theodore E . Keats, MD
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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?
CLICK HERE FOR ANSWER
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ANSWER
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.
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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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