PMC7569405_01
Three-dimensional CT SCAN reconstruction shows frontal and parietal bone humps. Notice maxillary hypertrophy.
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The physical examination revealed a small size, a diffuse hyperpigmentation of the skin, a frontal bone hump, and two parietal bone humps on the head (Fig. 1). Three dimensional reconstructions have been useful in assessing craniofacial dysmorphia (Fig. 1).
Axial CT scan with coronal reconstruction showing heterogeneous condensing hypertrophy in frosted glass of the diploe of the cranial vault bones.
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The CT scan showed a diffuse thickening of the cranial vault with an osteocondensation of "frosted glass appearance" (Fig. 2).
Axial CT scan with coronal reconstruction showing signs of radiological agressiveness with cortical rupture and extradural extension of lesions (arrow).
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The mixed imaging features suggested a malignant transformation of the disease (Fig. 3).
Axial CT scan with sagittal reconstruction showing diffuse lesions of the facial bones with condensation of the maxillary and sphenoidal sinuses.
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The maxillary bone, mandible, temporal bones, facial sinuses, and skull base bones had lytic lesions with a blown appearance of the bones (Fig. 4).