Gaucher's disease type I is the most prevalent lysosomal storage disorder c
aused by an autosomal-recessive inherited deficiency:of glucocerebrosidase
activity with secondary accumulation of glucocerebrosides within the lysoso
mes of macrophages. The storage disorder produces a multisystem disease cha
racterized by progressive visceral enlargement and gradual replacement of b
one marrow with lipid-laden macrophages. Skeletal disease is a major source
of disability in Gaucher's disease. Extraosseous extension of Gaucher cell
s is an extremely rare manifestation of skeletal Gaucher's disease. This is
a report on the MRI and histopathological findings of an extraosseous Gauc
her-cell extension into the midface in a patient with Gaucher's disease.