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| ==CT Scan== | | ==CT Scan== |
| *Bone CT may be helpful in the diagnosis of chondroma and performed when the radiographic findings are suggestive of the disease and need further evaluation. | | *Bone CT scan may be helpful in the diagnosis of enchondroma. Findings on CT scan suggestive of enchondroma include: |
| *Findings on CT suggestive of enchondroma include chondroid [[calcification]]s, mild endosteal scalloping, and expansion of the overlying cortex with no cortical invasion, unless fractured.<ref name=rt>Enchondroma. Radiopedia. http://radiopaedia.org/articles/enchondroma Accessed on December 22,2015.</ref>
| | **Sharply defined scalloped margins: may have mild endosteal scalloping |
| **No periosteal reaction is seen.<ref name=rt>Enchondroma. Radiopedia. http://radiopaedia.org/articles/enchondroma Accessed on December 22,2015.</ref> | | **Expansion of the overlying cortex may be present, but there should not be cortical breakthrough unless fractured |
| **No soft tissue mass is seen.<ref name=rt>Enchondroma. Radiopedia. http://radiopaedia.org/articles/enchondroma Accessed on December 22,2015.</ref> | | **No periosteal reaction |
| *Findings on CT suggestive of periosteal chondroma also includes saucerisation of the adjacent bony cortex with a sclerotic periosteal reaction.<ref>Juxta-cortical chondroma. Radiopedia. http://radiopaedia.org/articles/juxta-cortical-chondroma Accessed on December 22,2015.</ref>
| | **No soft tissue mass |
| **Most lesions are < 3 cm in size.
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| Image:Enchondroma-ct-findings.jpg|Enchondroma; Coronal CT of the right femur showed a lesion with typical ring-and-arc calcifications in the distal diaphysis and metaphysis. The endostal cortical border was not eroded.<ref name=ax>Enchondroma. Radiopedia. http://radiopaedia.org/cases/enchondroma-ct-findings-1 Accessed on January 4, 2016.</ref>
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| Image:Enchondroma-ct-findingsAxial.jpg|Enchondroma; Axial CT of the right femur showed a lesion with typical ring-and-arc calcifications in the distal diaphysis and metaphysis. The endostal cortical border was not eroded.<ref name=ax>Enchondroma. Radiopedia. http://radiopaedia.org/cases/enchondroma-ct-findings-1 Accessed on January 4, 2016.</ref>
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| Image:Juxtacort-chondro-CTcoronal.jpg|Periosteal chondroma; Coronal computed tomography scan showing cortical overhanging margins at the periphery of the lesion (arrow).<ref name=hi>Juxtacortical chondroma. Hindawi. http://www.hindawi.com/journals/crior/2014/763480/fig3/ Accessed on January 4, 2016.</ref>
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| Image:Juxtacort-chondroma-axial.jpg|Periosteal chondroma; Axial computed tomography scan showing cortical overhanging margins at the periphery of the lesion (arrow).<ref name=hi>Juxtacortical chondroma. Hindawi. http://www.hindawi.com/journals/crior/2014/763480/fig3/ Accessed on January 4, 2016.</ref>
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| </gallery>
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| ==References== | | ==References== |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Soujanya Thummathati, MBBS [2]
Overview
Bone CT may be helpful in the diagnosis of chondroma. Findings on CT suggestive of chondroma include chondroid calcifications, mild endosteal scalloping, and expansion of the overlying cortex with no cortical invasion, unless fractured.[1]
CT Scan
- Bone CT scan may be helpful in the diagnosis of enchondroma. Findings on CT scan suggestive of enchondroma include:
- Sharply defined scalloped margins: may have mild endosteal scalloping
- Expansion of the overlying cortex may be present, but there should not be cortical breakthrough unless fractured
- No periosteal reaction
- No soft tissue mass
References
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