Open AccessLangerhans cell histiocytosis: another cause of a fluid–fluid level within an appendicular bony lesion
Author(s) -
Venkata Rama Krishna Varanasi,
May Ying Leong,
Ah Moy Tan,
Wen Quan Derrick Lian,
Eu Leong Harvey James Teo
Publication year - 2016
Publication title -
bjr case reports
Language(s) - English
Resource type - Journals
ISSN - 2055-7159
DOI - 10.1259/bjrcr.20150408
Subject(s) - appendicular skeleton , langerhans cell histiocytosis , medicine , pelvis , pathology , lesion , biopsy , skull , histiocytosis , radiology , anatomy , disease
We report a case of Langerhans cell histiocytosis (LCH) occurring in the pelvis of a 2-year 11-month-old female with fluid–fluid level seen on MRI. Aspiration of the fluid during biopsy showed it to be blood with a few inflammatory cells and eosinophils. Tissue obtained during the biopsy confirmed the diagnosis to be LCH. While fluid–fluid levels have been infrequently encountered in skull lesions due to LCH, they have yet to be reported in lesions of the appendicular skeleton. The aim of this report is to familiarize radiologists with the fact that fluid–fluid levels can occur in LCH of the appendicular skeleton in children.