"acute onset of pain and swelling over 6 - 12 weeks 19"
"T1: variable"
"T2: hyperintense"
"T1 (C+): septations may enhance 9"
"ABC accounts for the 'A' in the popular mnemonic for lucent bone lesions FEGNOMASHIC."
"The lesion can be categorised according to the bone reporting and data system as Bone-RADS 4 unless histology has already been obtained 7."
"On plain radiography (and to a lesser degree, CT), the differential diagnosis includes most of the lesions included in the mnemonic FEGNOMASHIC. Compared to the other lesions in this list, aneurysmal bone cysts are markedly expansile (hence, "aneurysmal") and have a thin cortical shell."
"imaging characteristics e.g. solitary lucent bone lesion, high T1 or low T1 bone lesion"
Expected headings
"Bone scintigraphy"
"CT/MRI"
"USP6 gene (at 17p13.2 locus) rearrangement; occurs in 63% of cases"
"It is important to remember that the characteristic multi-loculation and fluid-fluid levels can be seen in other lesions, both benign and malignant (e.g. giant cell tumours (GCT), chondroblastoma and telangiectatic osteosarcomas)."
"Although they are benign, aneurysmal bone cysts can exhibit different clinical natural courses: quiescent, active or aggressive. Thus, patients should be referred to an orthopaedic oncologist 7. They have traditionally been treated operatively with intralesional curettage, excision, or complete en bloc excision with bone grafting 3."
"On MRI, the differential is much shorter, especially when age, location and plain film appearance are taken into account. The main differential includes both lesions with intrinsic fluid-fluid levels (see fluid-fluid level containing bone lesions) and those from which an aneurysmal bone cyst may arise:"