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Fat embolism syndrome FES is a common clinical entity that can occasionally have significant neurological sequelae. The authors report a case of cerebral fat embolism and FES that required surgical management of intracranial pressure ICP. They also discuss the literature as well as the potential need for neurosurgical management of this disease entity in select patients. A year-old woman presented with a seizure episode and altered mental status after suffering a right femur fracture. Head CT studies demonstrated hypointense areas consistent with fat globules at the gray-white matter junction predominantly in the right hemisphere.
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Massive localized lymphedema of the thigh mimicking liposarcoma

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Massive localized lymphedema represents a pseudosarcoma seen most commonly in middle-aged morbidly obese patients that radiologically can be easily confused for a soft-tissue sarcoma if one is not familiar with this entity. Although considered relatively rare, as the obesity epidemic continues to rise, the incidence of this entity will likely increase as well. We present a case of massive localized lymphedema occurring in the medial thigh, the most common location, with imaging and pathologic correlation. Massive localized lymphedema MLL reflects a slow growing monstrous, pendulous appearing tumefactive pseudosarcoma seen most commonly in middle-aged morbidly obese patients, either as an isolated mass, or multiple masses [1] , [2] , [3] , [4] , [5]. Clinically, histologically, and radiologically this mass is easy to confuse for malignancy if one is not familiar with the entity.
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