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CT SCAN BRAIN Axial Bone windows are available There is a well defined lytic expansive lesion in the left frontal region. It has a narrow zone of transition. No definite cortical breakthrough is seen. No soft tissue component is seen in these images. No other osseous lesion is seen in this study Paranasal sinuses and mastoid air cells are well aerated.
CONCLUSION : Findings are likely in keeping with an intracalvarial epidermoid. Dermoids are usually midline. Eosinophilic granuloma, fibrous dysplasia would be in the differential diagnosis Not likely to be a sinister entity such as metatases unless the patient is known for a primary malignancy elsewhere. Correlation with brain windows and prior imaging along with follow up with an MRI study may be considered.
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