Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Sep;54(10):1603-1617.
doi: 10.1007/s00247-024-05967-9. Epub 2024 Jun 28.

Imaging approach to pediatric calvarial bulges

Emily C M Hughes  1   2   3 , Daniel G Rosenbaum  4   5 , Helen M Branson  6   7 , Makabongwe Tshuma  4   5 , Eman Marie  8 , Cassidy S Frayn  4   5 , Heena Rajani  4   5 , Samantha K Gerrie  4   5
Affiliations
Review

Imaging approach to pediatric calvarial bulges

Emily C M Hughes et al. Pediatr Radiol. 2024 Sep.

Abstract

Palpable calvarial lesions in children may require multi-modality imaging for adequate characterization due to non-specific clinical features. Causative lesions range from benign incidental lesions to highly aggressive pathologies. While tissue sampling may be required for some lesions, others have a typical imaging appearance, and an informed imaging approach facilitates diagnosis. This review illustrates imaging findings of common and clinically important focal pediatric calvarial bulges to aid the radiologist in narrowing the differential diagnosis and directing appropriate referral. We focus on birth-related lesions, congenital abnormalities, and modeling disturbances (i.e., those that produce a change in calvarial contour early in development), normal variants, and neoplastic lesions with their mimics.

Keywords: Causative lesions; Palpable calvarial lesions; Pediatric calvarial bulges.

PubMed Disclaimer

References

    1. Choudhary G, Udayasankar U, Saade C et al (2019) A systematic approach in the diagnosis of paediatric skull lesions: what radiologists need to know. Pol J Rdiol 84:e92–e111. https://doi.org/10.5114/PJR.2019.83101 - DOI
    1. Lloret I, Server A, Taksdal I (2009) Calvarial lesions: a radiological approach to diagnosis. Acta radiol 50:531–542. https://doi.org/10.1080/02841850902795274 - DOI - PubMed
    1. Durand D, Kalra V, Wu X, Malhotra A (2014) CT and MR imaging of pediatric calvarial lesions. Contemp Diagn Radiol 37:1–7. https://doi.org/10.1097/01.CDR.0000456250.06117.EF - DOI
    1. McDermott T, Amarneh M, Sato Y et al (2023) Pediatric focal calvarial lesions: an illustrated review. Pediatr Radiol 53:2699–2711. https://doi.org/10.1007/S00247-023-05795-3 - DOI - PubMed
    1. Chaturvedi A, Chaturvedi A, Stanescu AL et al (2018) Mechanical birth-related trauma to the neonate: an imaging perspective. Insights Imaging 9:103. https://doi.org/10.1007/S13244-017-0586-X - DOI - PubMed - PMC

LinkOut - more resources