Table 1.

The histologic Milgram staging system of intraosseous lipomas compared to the radiologic findings.

Milgram stage Histology Radiology
1 Viable fat cells and ± bony trabeculae Radiolucent, well defined, expands cortex
2 Viable fat + some fat necrosis + few dystrophic calcifications Radiolucent, well defined and central calcifications
3 Viable fat + dystrophic calcifications + cyst formation + reactive bone formation More radiodense with thick sclerotic borders

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