Abstract:
:A 14-year-old boy undergoing brain MRI had an incidental avidly enhancing lobulated lesion in the left superolateral orbital rim with associated cortical erosion. Apart from Contrast-enhanced Magnetic Resonance Imaging (MRI), and Computed Tomography (CT), Contrast-Enhanced Ultrasound (CEUS) was obtained prior to a biopsy. It provided additional information about the microvasculature and an orbital biopsy was subsequently performed through an upper eyelid crease incision with minimal blood loss and no postoperative complications. Histopathological examination revealed features which were compatible with the diagnosis of LCH. The authors propose that CEUS may be considered as an adjunct and possibly alternative imaging modality for the evaluation of craniofacial osseous lesions, especially in the orbital region (due to the known radio-sensitivity of the eyes) and in pediatric patients, to minimize the risk of ionizing-radiation exposure.
journal_name
Clin Imagingjournal_title
Clinical imagingauthors
Sng WJ,Kapur J,Sundar G,Lian WQD,Tan APdoi
10.1016/j.clinimag.2019.10.018subject
Has Abstractpub_date
2020-03-01 00:00:00pages
5-9issue
1eissn
0899-7071issn
1873-4499pii
S0899-7071(19)30234-7journal_volume
60pub_type
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