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Answer to Case of the Week: Mar 18-Mar 25, 2010
Diagnosis please from the skull films?

 


Defects in both parietal bones
Diagnosis: Large Parietal Foramina

In fetal life the ossification of the parietal bone between the centers of ossification and the sagittal suture is not so rapid as elsewhere and for some time a lozenge shaped fontanelle persists.

 

Normally this fontanelle is almost completely obliterated and a small foramen a millimeter in diameter transimitting an emissary vessel usually remains on one or both sides.

 

If this process is not complete, large parietal foramina results.

 

TAKE HOME MESSAGE: The greatest challange in Pediatric Radiology is to recognize Normal variants and not mistake them for disease process. 

Residents Submitting Correct Diagnosis - Case of the Week
Radiology
Pediatrics
VCU Resident
  		• Aaron Nordgren
  		• Jeremy Camden
  		• Janae Johnson
  		• Shep Morano
  		• Kathryn Jones
  		• Brian Deuell
    Others
  		• Dishant ShahUnited States of America
  		• Yang TangUnited States of America
  		• Giang NguyenViet Nam
  		• Brian TrottaUnited States of America
  		• Nishard AbdeenCanada
  		• Wael NemattallaEgypt
  		• JAMAL ABAZIDSyrian Arab Republic
  		• Matthew ChaneyUnited States of America
  		• BOB WONGCanada
  		• Monika BagadeIndia
  		• Joshua BallUnited States of America
  		• Chad St. GermainUnited States of America
  		• Mantosh RattanUnited States of America
  		• Khalid KhashoggiSaudi Arabia
  		• RAKESH BHATIAIndia
  		• Vidula GodhamgaonkarUnited Kingdom
  		• Dipal ShahIndia
  		• Robert PalmerUnited States of America
  		• BOUTHINA IBRAHIMEgypt
  		• John KirkhamUnited States of America
  		• Anup GuptaIndia
  		• Mark BittmanUnited States of America
  		• Mufudzi MavikiZimbabwe
  		• Shohreh RezaiAustralia
  		• Carmen OteleaRomania
  		• Fahri AyzitTurkey
  		• Christopher FrancisUnited States of America
  		• OLIVA GONZALEZMexico
  		• Rajesh SIndia
  		• Lincoln WongUnited States of America
  		• Ashlesha UdareIndia
    Disclaimer: This information is intended solely for resident review of presented cases which may or may not be pathologically proven. Information is derived from a number of published sources of varying reliability and does not represent original research from the institution. It is not intended to be comprehensive and should therefore not substitute for careful review of the literature.