You appear to be using an old web browser that may not properly display our pages. Our sites are built using standards compliant guidelines that require a more recent web browser such as:

Internet Explorer 6+
FireFox 1+
Netscape 6+

NewYork-Presbyterian Hospital Psychiatry
What's New About Us Faculty Residency Program Medical Students Fellowships Research

Case of the Month - January 2019

This 68 year old male presented to the ED complaining of worsening numbness to his right face, arm and leg x 2 days. He was diagnosed with a CVA at a hospital in another country 2 months ago.

Question 1 : What’s wrong with these images from his head CT (bone window)?

Question 1 X Ray 1

Question 1 X Ray 2

View answer
Answer 1:

There are multiple hyperdense foci within the skull.

Question 2 : What illnesses may cause these findings?

View answer
Answer 2:

There are several causes of sclerotic skull lesions. These include hyperostosis frontalis internal (which is a normal variant), osteoma (benign), fibrous dysplasia (benign), and intraosseous meningioma (may become malignant). Paget’s disease can cause lytic, sclerotic or mixed skull lesions depending on the phase of disease. Skull metastases which are sclerotic are seen in prostate cancer. (which was unfortunately the ultimate diagnosis in this patient.)

© NewYork-Presbyterian Hospital
Home | Disclaimer | Sitemap | Privacy Notice