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History:Ateenagepatientpresentswithheadpain.

病史:青少年患者头痛。

CTimagesareshownbelow.

CT图像如下所示。

Findings

Extensivepansinusdiseasewithathinlayerofabscessalongtheoutertableoftheleftfrontalbone,aswellasextensivesoft-tissueswellingoftheforehead,isseen,consistentwithfrontalboneosteomyelitis.Tinymedialleftfrontalpneumocephalusisconsistentwithintracranialextensionofinfectionandlikelypresenceofatinyepiduralabscess.

影像表现:

广泛鼻窦病变,沿左额骨外侧面可见薄层脓肿形成,前额大量软组织肿胀,提示额骨骨髓炎。左额部颅内少量积气,提示感染延伸至颅内,可见极少量的硬膜外脓肿。

Differentialdiagnosis

Pottspuffytumor

Ewingssar