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Aimee双语小讲堂第四讲波特氏头皮肿
Aimee医院
HistoryandCTimages
History:Ateenagepatientpresentswithheadpain.
病史:青少年患者,因头痛就诊
CTimagesareshownbelow.Clicktoenlarge.
Findings
Extensivepansinusdiseasewithathinlayerofabscessalongtheoutertableoftheleftfrontalbone,aswellasextensivesoft-tissueswellingoftheforehead,isseen,consistentwithfrontalboneosteomyelitis.Tinymedialleftfrontalpneumocephalusisconsistentwithintracranialextensionofinfectionandlikelypresenceofatinyepiduralabscess.
影像学表现
泛副鼻窦炎伴左侧额骨外侧薄层脓肿,同时可见额部广泛软组织肿胀,由额骨骨髓炎引发。颅内感染播散引发左侧额部少量积气。同时可见少量硬膜外脓肿。
Differentialdiagnosis鉴别诊断
·Pottspuffytumor波特氏头皮肿块
·Ewingssar