EURORAD ESR

Case 11961

Solitary plasmacytoma involving C5 and C6 vertebrae with 'Mini brain'appearance

Author(s)
Chirag Kanjibhai Ghodasara, Nisha Satishkumar Doshi

Sanya diagnostics,
Rajkot civil hospital,
Rajkot, Gujarat, India;
Email:drchiragghodasara@gmail.com
 
Patient
male, 55 year(s)
 
 
  • Figure 1
    MRI cervical spine - sagittal T2 images
     

    Sagittal T2 image of cervical spine revealed hypointense thick cortical struts in left side of C6 vertebral body with adjacent hyperintense lesion.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal T2 image of cervical spine revealed hypointense lesion in C5 and C6 vertebral body. The lesion was extending into the epidural region, causing compression of the cervical spinal cord.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal T2 image of cervical spine revealed hypointense lesion in C5 and C6 vertebral body with destruction of C5-6 disc. The lesion was extending into the epidural region and right paravertebral region.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal T2 image of cervical spine revealed hypointense lesion in right-sided articular process of C5 and C6 vertebrae.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 2
    MRI cervical spine - axial T2 GRE images
     

    Axial GRE image revealed homogeneous hyperintense lesion involving vertebral body, right transverse process and right articular facet of C5 vertebrae.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial GRE image revealed hyperintense lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region. The lesion was causing compression of the cervical spinal cord.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial GRE image revealed hypointense thick cortical struts in C6 vertebral body and hyperintense lesion between struts, showing a "Mini Brain" appearance.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial GRE image revealed a lesion encasing the right vertebral artery.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 3
    MRI cervical spine- axial T1 images
     

    Axial T1 image revealed hypointense lesion involving the vertebral body, right transverse process and right articular facet of C5 vertebra. The lesion was encasing the right vertebral artery.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Axial T1 image revealed hypointense thick cortical struts in C6 vertebral body and hypo to isointense lesion between struts, showing a "Mini Brain" appearance.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 4
    MRI cervical spine - post-contrast sagittal T1 fat sat images
     

    Sagittal post-contrast T1 image of cervical spine revealed hypointense thick cortical struts in left side of the C6 vertebral body with adjacent enhancing lesion.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebral body with destruction of C5-6 disc. The lesion was extending into the epidural region and right paravertebral region.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in the right-sided articular and transverse process of C5 and C6 vertebrae with right vertebral artery encasement.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 5
    MRI cervical spine - post-contrast axial T1 fat sat images
     

    Axial post-contrast T1 image revealed homogeneous enhancing lesion involving vertebral body, right transverse process and right articular facet of C5 vertebrae.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Axial post-contrast T1 image revealed enhancing lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region. The lesion was causing compression of the cervical spinal cord.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Axial post-contrast T1 image revealed hypointense thick cortical struts in C6 vertebral body and an enhancing lesion between struts, showing a "Mini Brain" appearance.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Axial post-contrast T1 image revealed enhancing lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region, encasing the right vertebral artery.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 6
    MRI cervical spine - post-contrast coronal T1 fat sat images
     

    Coronal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;

    Coronal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region and encasing the right vertebral artery.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Contrast agent-intravenous; Special Focus: Neoplasia;
     
     
  • Figure 7
    CT cervical spine - sagittal reformatted images
     

    Sagittal reformatted image of the cervical spine revealed thick cortical struts in the left side of the C6 vertebral body.

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;

    Sagittal reformatted image of the cervical spine revealed an expansile lytic lesion in C5 and C6 vertebrae.

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 8
    CT cervical spine - axial reformatted images

    Axial reformatted image of cervical spine revealed expansile lytic lesion in C6 vertebrae with thick cortical struts in the vertebral body.

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 9
    CT cervical spine -coronal reformated images

    Coronal reformatted image of cervical spine revealed expansile lytic lesion in C5 and C6 vertebrae.

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
Sagittal T2 image of cervical spine revealed hypointense thick cortical struts in left side of C6 vertebral body with adjacent hyperintense lesion.
 
Sagittal T2 image of cervical spine revealed hypointense lesion in C5 and C6 vertebral body. The lesion was extending into the epidural region, causing compression of the cervical spinal cord.
 
Sagittal T2 image of cervical spine revealed hypointense lesion in C5 and C6 vertebral body with destruction of C5-6 disc. The lesion was extending into the epidural region and right paravertebral region.
 
Sagittal T2 image of cervical spine revealed hypointense lesion in right-sided articular process of C5 and C6 vertebrae.
 
Axial GRE image revealed homogeneous hyperintense lesion involving vertebral body, right transverse process and right articular facet of C5 vertebrae.
 
Axial GRE image revealed hyperintense lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region. The lesion was causing compression of the cervical spinal cord.
 
Axial GRE image revealed hypointense thick cortical struts in C6 vertebral body and hyperintense lesion between struts, showing a "Mini Brain" appearance.
 
Axial GRE image revealed a lesion encasing the right vertebral artery.
 
Axial T1 image revealed hypointense lesion involving the vertebral body, right transverse process and right articular facet of C5 vertebra. The lesion was encasing the right vertebral artery.
 
Axial T1 image revealed hypointense thick cortical struts in C6 vertebral body and hypo to isointense lesion between struts, showing a "Mini Brain" appearance.
 
Sagittal post-contrast T1 image of cervical spine revealed hypointense thick cortical struts in left side of the C6 vertebral body with adjacent enhancing lesion.
 
Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebral body with destruction of C5-6 disc. The lesion was extending into the epidural region and right paravertebral region.
 
Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region.
 
Sagittal post-contrast T1 image of cervical spine revealed enhancing lesion in the right-sided articular and transverse process of C5 and C6 vertebrae with right vertebral artery encasement.
 
Axial post-contrast T1 image revealed homogeneous enhancing lesion involving vertebral body, right transverse process and right articular facet of C5 vertebrae.
 
Axial post-contrast T1 image revealed enhancing lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region. The lesion was causing compression of the cervical spinal cord.
 
Axial post-contrast T1 image revealed hypointense thick cortical struts in C6 vertebral body and an enhancing lesion between struts, showing a "Mini Brain" appearance.
 
Axial post-contrast T1 image revealed enhancing lesion involving C6 vertebrae and extending into the right paravertebral region and epidural region, encasing the right vertebral artery.
 
Coronal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region.
 
Coronal post-contrast T1 image of cervical spine revealed enhancing lesion in C5 and C6 vertebrae, extending into the right paravertebral region and encasing the right vertebral artery.
 
Sagittal reformatted image of the cervical spine revealed thick cortical struts in the left side of the C6 vertebral body.
 
Sagittal reformatted image of the cervical spine revealed an expansile lytic lesion in C5 and C6 vertebrae.
 
Axial reformatted image of cervical spine revealed expansile lytic lesion in C6 vertebrae with thick cortical struts in the vertebral body.
 
Coronal reformatted image of cervical spine revealed expansile lytic lesion in C5 and C6 vertebrae.
 
 
 
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