“ Relatively common idiopathic skeletal disorder (sometimes called Lichtenstein-Jeffe disease), it typically presents in adolescents and you...
“
Relatively common idiopathic skeletal disorder (sometimes called Lichtenstein-Jeffe disease), it typically presents in adolescents and young adults. Caused by fibroblast proliferation and maturation in the bone medulla. May be monostotic (affects a single bone most commonly) or polyostotic.
PLAIN FILM
• Wide range of appearances.
• Typically a well-defined lesion centred on the bone medulla, which has a uniform ground-glass internal density and may be surrounded by a thick sclerotic margin (‘rind’).
• Diaphyseal location.
• May contain internal calcification ‘popcorn’.
• Bone cortex may be scalloped.
• Bone expansion.
• Pathological fractures and bone deformity are common (e.g. Shepherd’s crook deformity of the proximal femur).
• Lesions may increase in size with pregnancy.
MRI
• T1—isointense with areas of hypointensity, patchy enhancement post-contrast
• T2—heterogeneously hyperintense
”
- For Radiology Cases, Discussion join: Radiology Made Easy on Facebook
- Subscribe to our youtube channel for FRCR radiology case discussion
- Join our Telegram group: Radiology Made Easy
