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Skull vault osteoma

Findings:
Mild involutional changes are seen in the brain parenchyma in the form of prominent cortical sulci and widened ventricles.
No intra or extra-axial blood or fluid collection is present. There is no mass or shift of midline.
Brain densities are normal. No loss of the grey-white matter junction is seen.
Hyperostosis frontalis interna is noted.
Well defined oval exophytic sclerotic lesions are noted projecting from the outer table of the frontal bones bilaterally, in keeping with skull vault osteomas.
The imaged paranasal sinuses and mastoid air cells are clear. Bilateral IOL-implants are seen.

Conclusion:
Normal CT of the head.

CT feature of skull vault osteoma.

Updated on 2. June 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.