রবিবার, ৩০ জানুয়ারী, ২০১১

what is your diagnosis-2



75 years old man from akkelpur, joypurhat,Bangladesh
presented to me with a lump over left side of his forehead for 6 years
H/O trauma 2.5 years back
its painful at night

O/E: about 4x4 sq. cm ,hemispherical ,distinct edge, overlying skin is normal
        soft,flactuating, but negative transillumination ,non compressible,non reducible,no cough impulse ,non pulsatile/expansile, free from overlying skin a circular well defined gap underlying frontal bone felt while the patient was laid down
        dry tap on aspiration
        

                

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