CT http://radiopaedia.

org/articles/craniofacial-fibrous-dysplasia

Affected bones are usually expanded with an intact cortex and lose the normal cortico-medullary
differentiation, being replaced classically by a homogeneous ground glass appearance, although
mixed lucencies and sclerosis are also common 2-4.
The margin between abnormal and normal bone is often difficult to identify, the two regions
blending with each other, however on occasion a relatively sharp demarcation may be present 2.
Sometimes there the mixed regions of sclerosis and lucency are reminiscent of Paget's disease,
and are thus referred to as 'pagetoid' 3.
When the maxilla or mandible are involved, resorption of the roots of teeth is uncommon 2.
MRI

MRI appearance is variable depending of the degree of lucencies versus sclerosis 2-4.

T1: heterogeneous signal, usually intermediate

T2: heterogeneous signal, usually low, but may have regions of higher signal

T1 C+ (Gd): heterogeneous contrast enhancement

http://radiopaedia.org/articles/fibrous-dysplasia
CT

ground-glass opacities: 56% 4

homogeneously sclerotic: 23%

cystic: 21%

well-defined borders

expansion of the bone, with intact overlying bone

endosteal scalloping may be seen 6

MRI

MRI is not particularly useful in differentiating fibrous dysplasia from other entities as there is
marked variability in the appearance of the bone lesions, and they can often resemble a tumour
or more aggressive lesions.

T1: heterogeneous signal, usually intermediate

T2: heterogeneous signal, usually low, but may have regions of higher signal

T1 C+ (Gd): heterogeneous contrast enhancement 4