EURORAD ESR

Case 13899

Dorsal hypertrophied facet joint with spinal canal and foraminal stenosis

Author(s)
Albertz-Arevalo N, Elia-Martinez I, Delgado-Moraleda JJ, Ochoa-Santiago YM, Montoya-Filardi A, Muñoz-Nuñez C.

Hospital Univertsitari i Politecnic La Fe,
Valencia, Spain.
 
Patient
female, 42 year(s)
 
 
  • Figure 1
    Dorsolumbar spine radiography

    Dorsolumbar spine radiography showing hypertrophied T9/10 left facet joint.

     
    Area of Interest: Spine; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 2
    Dorsal spine radiography

    Dorsal spine radiography showing hypertrophied T9/10 left facet joint.

     
    Area of Interest: Spine; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 3
    Spine CT. Multiplanar and 3D reconstructions.

    Bony overgrowth of the superior articular process of the left facet joint in T10 and secondary bone remodelled of lower articular process of T9. Spine canal occupation and extension to left foramen.

     
    Area of Interest: Spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 4
    Dorsal spine MRI

    Sagittal MRI of spine T1 and T2 weighted, identifying hypointensity on the left of the extradural sac involving the facet joint at T9/10 level with severe compression on the spinal cord.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 5
    Dorsal spine MRI

    T1 and T2 weighted spine MRI showing hypointensity on the left of the extradural sac involving the facet joint at T9/10 level with severe compression on the spinal cord.

     
    Area of Interest: Spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Hyperplasia / Hypertrophy;
     
     
  • Figure 6
    Dorsal spine histologic specimen

    Panoramic (2x magnified image) of dorsal spine sample. Thickened, rough, thick trabeculae and mixture of adipose tissue and haematopoietic cellularity (rare in adult spine) are observed. These findings are...

     
    Area of Interest: Spine; Imaging Technique: Percutaneous; Procedure: Biopsy; Special Focus: Hyperplasia / Hypertrophy;
     
     
Dorsolumbar spine radiography showing hypertrophied T9/10 left facet joint.
 
Dorsal spine radiography showing hypertrophied T9/10 left facet joint.
 
Bony overgrowth of the superior articular process of the left facet joint in T10 and secondary bone remodelled of lower articular process of T9. Spine canal occupation and extension to left foramen.
 
Sagittal MRI of spine T1 and T2 weighted, identifying hypointensity on the left of the extradural sac involving the facet joint at T9/10 level with severe compression on the spinal cord.
 
T1 and T2 weighted spine MRI showing hypointensity on the left of the extradural sac involving the facet joint at T9/10 level with severe compression on the spinal cord.
 
Panoramic (2x magnified image) of dorsal spine sample. Thickened, rough, thick trabeculae and mixture of adipose tissue and haematopoietic cellularity (rare in adult spine) are observed. These findings are characteristic of bone hypertrophy.
 
 
 
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