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Benign Chondroma of the Nasal Septumn

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This is a pre-gadolinium and post-gadolinium

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enhanced T1-weighted scan, and we see a mass

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that is intimately associated with the nasal septum.

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We get a little bit of a sense that it's

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crossing the midline on the post-gadolinium

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enhanced scan, and we also get a sense of the

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relatively heterogeneous contrast enhancement.

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This is heterogeneous contrast enhancement

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because this lesion has a chondroid matrix

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to it that was seen on the CT scan.

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A little bit of that popcorn look to

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it, if you will, and this is a typical

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chondroid lesion of the nasal septum, benign

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chondroma versus a chondrosarcoma.

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For the chondrosarcoma, we'd have to see

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more aggressive features, more aggressive

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growth pattern, and sometimes even

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necrosis associated with the nasal septum.

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This was a benign chondroma of the nasal septum.

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Faculty

David M Yousem, MD, MBA

Professor of Radiology, Vice Chairman and Associate Dean

Johns Hopkins University

Mahla Radmard, MD

Postdoctoral Research Fellow

Johns Hopkins University School of Medicine

Tags

Sinus

Sinonasal Cavity

Oncologic Imaging

Neuroradiology

Neoplastic

MRI

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