Geographic lytic lesions in the vault of skull with beveled edges are seen with –
High-Yield Explanation
Punched out lesions of skull are seen both in Eosinophilic granuloma and multiple myeloma. However, beveled edges (double contour) is characteristic of eosinophilic granuloma due to uneven destruction of the inner and outer table of the skull.
Punched out lesions of skull → Multiple myeloma
Punched out lesions with beveled edges → Eosinophilic granuloma