No erosion of the calvarium,
No internal flow,
I think a pilomatricoma is my first thought.
These scalp lesions are often a bit non specific on ultrasound and a biopsy may provide the ultimate answer,
But I think pilomatricoma is a goos first option.
It can also be spelt pilomatrixoma.
Mire common in females, often multiple.
They arise from the hair follicle.
Steve.