case_images: PMC11804263_01
case_images: Axial CT scan bone window (A) and soft tissue window (B) shows a hyperdense calcified lesion at nasal tip (Arrows).
case_images: gr1.jpg
case_images: PMC11804263_01_gr1.jpg
case_images: fig0001
case_images: In a non-contrast CT scan of the face, a well-defined, homogeneous, hyperdense mass was observed at the tip of the nose (Fig. 1).
case_images: Axial T1 (A) and sagittal T2 (B) shows a midline low signal lesion at nasal tip (Arrows). Postcontrast axial T1 (C) shows only mild peripheral enhancement.
case_images: gr2.jpg
case_images: PMC11804263_01_gr2.jpg
case_images: fig0002
case_images: On post-contrast images, only the wall of the mass showed enhancement (Fig. 2).
case_images: The photomicrograph displays a squamous epithelium lining that is stratified and does not have a granular layer. It has dense eosinophilic keratin, calcification, and a foreign body-type granulomatous reaction.
case_images: gr3.jpg
case_images: PMC11804263_01_gr3.jpg
case_images: fig0003
case_images: It was found that there was a pilar-shaped keratinous cyst, along with a multinucleated giant cell reaction and calcification (Fig. 3).