27-year-old patient with neurofibromatosis-type 1 (NF-1). Bone lesions found on PET-CT
What are the imaging findings?
Multiple bilateral multiloculated eccentric metaphyseal lucent lesions with thin sclerotic rim
What is the most likely diagnosis?
Multiple non-ossifying fibromas in a patient with NF-1
Teaching points
Very common benign lesion in young adults. Tend to heal or involute. Vast majority asymptomatic. Large lesions may be painful or weaken the cortical predisposing to pathological fracture (rare). Multiple in NF-1