What is the most likely diagnosis?
- 51 year-old with heel pain
Lateral radiograph of the foot
- Stress fracture
- Solitary plasmacytoma
- Calcaneal cyst
- Intraosseous lipoma of calcaneus
- Impacted fracture of the calcaneus
Additional Image - T1 Sagittal and Sagittal STIR MRI Images
Additional Images
T1 Sagittal and Sagittal STIR MRI Images of Calcaneus
Answer:
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4. Intraosseous lipoma of calcaneus
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Intraosseous Lipoma of the Calcaneus
General Considerations
- Uncommon, and not as rare as once thought
- Benign tumor composed of mature, adult fat
- Adults between 30-60
- Males slightly more than females
- Frequent skeletal locations include
- Proximal femur, intertrochanteric region (34%)
- Base of neck of calcaneus (8%)
- Tibia (13%)
- Ilium (8%)
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