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Case of the Week 333



What's the most likely diagnosis?

  • 68 year-old female with headaches



  1. Fibrous dysplasia
  2. Paget disease
  3. Hyperostosis frontalis interna
  4. Metastases
  5. Multiple myeloma

Additional Images - Axial CT image of skull

 

Additional Images

Axial CT image of skull


Answer:


3. Hyperostosis frontalis interna


More (Click Discussion Tab)


Hyperostosis Frontalis Interna

General Considerations

  • Occurs mostly in post-menopausal females over 35 years of age
  • Thickening of the inner table of the skull
  • Unknown etiology although its presence in post-menopausal women suggest possible hormonal influence

 

More ...


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LearningRadiology.com is an award-winning educational site aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of case quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, cardiac, and bone radiology.