Calcaneal lipoma

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Right heel pain.

Patient Data

Age: 65 years
Gender: Male

Right foot

x-ray

A calcaneal intramedullary lucent lesion with a narrow zone of transition and intralesional calcific density is suggestive of calcaneal lipoma.

Calcifications at the insertion of the Achilles tendon.

Arterial calcific atherosclerotic changes.

Case Discussion

A well-defined lytic lesion with central calcification is the classic appearance of calcaneal intraosseous lipoma, known as the cockade sign.

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