common disease37

【臨床症状】40代 CTで石灰化疑い

【問題】画像所見と診断名は?

MR_20240817122527_Image001
MR_20240817122527_Image002
MR_20240817122527_Image003
MR_20240817122527_Image004
MR_20240817122527_Image005
MR_20240817122527_Image006
MR_20240817122527_Image007
MR_20240817122527_Image008
MR_20240817122527_Image009
MR_20240817122527_Image010
MR_20240817122527_Image011
MR_20240817122527_Image012
MR_20240817122527_Image013
MR_20240817122527_Image014
MR_20240817122527_Image015
MR_20240817122527_Image016
MR_20240817122527_Image017
MR_20240817122527_Image018
MR_20240817122527_Image019
MR_20240817122527_Image020
MR_20240817122527_Image021
MR_20240817122527_Image022
MR_20240817122527_Image023
MR_20240817122527_Image024
MR_20240817122527_Image025
MR_20240817122527_Image026
MR_20240817122527_Image027
MR_20240817122527_Image028
MR_20240817122527_Image029
MR_20240817122527_Image030
MR_20240817122527_Image031
MR_20240817122527_Image032
MR_20240817122527_Image033
MR_20240817122527_Image034
MR_20240817122527_Image035
MR_20240817122527_Image036
MR_20240817122527_Image037
MR_20240817122527_Image038
MR_20240817122527_Image039
MR_20240817122527_Image040
MR_20240817122527_Image041
MR_20240817122527_Image042
MR_20240817122527_Image043
MR_20240817122527_Image044
MR_20240817122527_Image045
MR_20240817122527_Image046
MR_20240817122527_Image047
MR_20240817122527_Image048
MR_20240817122527_Image049
MR_20240817122527_Image050
MR_20240817122527_Image051
MR_20240817122527_Image052
MR_20240817122527_Image053
MR_20240817122527_Image054
MR_20240817122527_Image055
MR_20240817122527_Image056
MR_20240817122527_Image057
MR_20240817122527_Image058
MR_20240817122527_Image059
MR_20240817122527_Image060
MR_20240817122527_Image061
MR_20240817122527_Image062
MR_20240817122527_Image063
MR_20240817122527_Image064
MR_20240817122527_Image065
MR_20240817122527_Image066
MR_20240817122527_Image067
MR_20240817122527_Image068
MR_20240817122527_Image069
MR_20240817122527_Image070
MR_20240817122527_Image071
MR_20240817122527_Image072
MR_20240817122527_Image073
MR_20240817122527_Image074
MR_20240817122527_Image075
MR_20240817122527_Image076
MR_20240817122527_Image077
MR_20240817122527_Image078
MR_20240817122527_Image079
MR_20240817122527_Image080
MR_20240817122527_Image081
MR_20240817122527_Image082
MR_20240817122527_Image083
MR_20240817122527_Image084
MR_20240817122527_Image085
MR_20240817122527_Image086
MR_20240817122527_Image087
MR_20240817122527_Image088
MR_20240817122527_Image089
MR_20240817122527_Image090
MR_20240817122527_Image091
MR_20240817122527_Image092
MR_20240817122527_Image093
MR_20240817122527_Image094
MR_20240817122527_Image095
MR_20240817122527_Image096
MR_20240817122527_Image097
MR_20240817122527_Image098
MR_20240817122527_Image099
MR_20240817122527_Image100
MR_20240817122527_Image101
MR_20240817122527_Image102
MR_20240817122527_Image103
MR_20240817122527_Image104
MR_20240817122527_Image105
MR_20240817122527_Image106
MR_20240817122527_Image107
MR_20240817122527_Image108
MR_20240817122527_Image109
MR_20240817122527_Image110
MR_20240817122527_Image111
MR_20240817122527_Image112
MR_20240817122527_Image113
MR_20240817122527_Image114
MR_20240817122527_Image115
MR_20240817122527_Image116
MR_20240817122527_Image117
MR_20240817122527_Image118
MR_20240817122527_Image119
MR_20240817122527_Image120
 

    ▶答えはこちら
    • 各種シーケンスにて前頭部の頭蓋冠内面に、扁平な腫瘤性病変を認める
    • T2WIで低~高信号、T1WIで高信号を認め、皮質骨が脂肪髄を内包した状態、異所性骨化が疑われる
    • また左頭頂部にも同様の所見を認める
    • その他に特にい所所見は認めない

    【異所性骨化】

    ・異所性骨化は本来、骨組織が存在しない部位に骨形成を生じる疾患(異常骨化現象)

    ・外傷や手術後の半年程度で発生する事が多い

    ・損傷部位の筋肉内の間葉系細胞の骨形成能の増加が原因と言われている

    ・また血管内皮細胞や造血細胞、肥満細胞にも骨形成能力がある事が知られている

    ・無症状の場合は経過観察する事も多いが、疼痛や神経症状をきたす場合には治療をすることもある

    ・好発部位は肘、大腿部、骨盤、股関節、膝関節、肩関節など