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previously visited EPITHELIOID HEMANGIOMA OF RIGHT CALCANEUS Random Case
Authored By: Michael Richardson, Radiologist, University of Washington, Washington, USA.
Patient: 52 year old male
History: right heel pain
Images:[small]mediumlargeas-submittedimages only

Fig. 1: Lateral ankle, pre-op

Fig. 2: Sagittal STIR

Fig. 3: Lateral ankle, 3 months post-op

Fig. 4: Axial CT

Fig. 5: Sagittally reformatted CT
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Findings:

1. lucent lesion in calcaneal tuberosity with sclerotic margin
2. increased T2 signal in lesion
3. S/P curettage and bone grafting with evidence of incorporation of bone graft material on CT

DDx: The calcaneus can be considered an epiphyseal equivalent for purposes of DDx. Thus we should include entities such as chondroblastoma and giant cell tumor.
Diagnosis: The usual DDx was not of much help here.
Discussion: Plain radiograph 3 months S/P curettage and bone grafting suggested a zone of lucency around the graft material, raising the question of graft resorption. However, the CT shows that this more lucent zone is actually composed of mature bone, consistent with interval incorporation of the peripheral graft material.
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Additional Details:

Case Number: 32494727Last Updated: 11-07-2009
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Anatomy: Skeletal System   Pathology: Neoplasm
Modality: CT, Conventional Radiograph, MRAccess Level: Readable by all users
Contained in: 10-30-09
Case has been viewed 81 times.

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