EURORAD ESR

Case 14342

Calcific Longus Colli Tendinitis

Author(s)
Nersesyan N, Bujeda-Gómez C, Flores-Casaperalta S, Rengel-Ruiz M, Piñana-Plaza C, Rubio-Maicas C, Delgado-Moraleda JJ.

Hospital Clínico Universitario de Valencia; Email:nerses90@gmail.com
 
Patient
female, 50 year(s)
 
 
  • Figure 1
    Unenhanced Cervical Spine CT
     

    Axial Unenhanced Cervical Spine CT shows a hypodense area in the retropharyngeal space.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Oedema;

    Axial unenhanced cervical spine CT on bone window shows an amorphous calcification ventral to the body of C1-C2.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;

    Sagittal reformatted image of cervical spine on soft tissue window shows a hypodense area in the retropharyngeal space, tapering inferiorly from level C1 to C5-C6. The retropharyngeal effusion narrows the airway in...

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Oedema;

    Sagittal reformatted image of cervical spine on bone window shows an amorphous calcification ventral to the body of C1-C2. Inversion of the physiologic cervical lordosis.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Calcifications / Calculi;
     
     
  • Figure 2
    Contrast Enhanced Cervical Spine CT 4 days later
     

    Axial Contrast Enhanced Cervical Spine CT on sof tissue window demonstrates resolution of the hypodense area in the retropharyngeal space. No rimlike enhancement was observed.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Oedema;

    Axial Contrast Enhanced Cervical Spine CT on bone window shows the previouly observed amorphous calcification ventral to the body of C1-C2.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Calcifications / Calculi;

    Sagittal Contrast Enhanced Cervical Spine CT on soft tissue window demonstrates marked improvement and complete resolution of the hypodense area in the retropharyngeal space. No rimlike enhancement was observed.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Oedema;

    Sagittal reformatted image of Contrast Enhanced Cervical Spine CT on bone window shows the previouly observed amorphous calcification ventral to the body of C1-C2. Inversion of the physiologic cervical lordosis.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Calcifications / Calculi;
     
     
  • Figure 3
    3D Reconstruction
     

    Amorphous calcification ventral to the body of C1-C2.

     
    Area of Interest: Head and neck; Imaging Technique: Image manipulation / Reconstruction; Procedure: eLearning; Special Focus: Calcifications / Calculi;

    Amorphous calcification ventral to the body of C1-C2 (blue arrow and circular shadowing).

     
    Area of Interest: Head and neck; Imaging Technique: Image manipulation / Reconstruction; Procedure: eLearning; Special Focus: Calcifications / Calculi;
     
     
Axial Unenhanced Cervical Spine CT shows a hypodense area in the retropharyngeal space.
 
Axial unenhanced cervical spine CT on bone window shows an amorphous calcification ventral to the body of C1-C2.
 
Sagittal reformatted image of cervical spine on soft tissue window shows a hypodense area in the retropharyngeal space, tapering inferiorly from level C1 to C5-C6. The retropharyngeal effusion narrows the airway in oropharinx.
 
Sagittal reformatted image of cervical spine on bone window shows an amorphous calcification ventral to the body of C1-C2. Inversion of the physiologic cervical lordosis.
 
Axial Contrast Enhanced Cervical Spine CT on sof tissue window demonstrates resolution of the hypodense area in the retropharyngeal space. No rimlike enhancement was observed.
 
Axial Contrast Enhanced Cervical Spine CT on bone window shows the previouly observed amorphous calcification ventral to the body of C1-C2.
 
Sagittal Contrast Enhanced Cervical Spine CT on soft tissue window demonstrates marked improvement and complete resolution of the hypodense area in the retropharyngeal space. No rimlike enhancement was observed.
 
Sagittal reformatted image of Contrast Enhanced Cervical Spine CT on bone window shows the previouly observed amorphous calcification ventral to the body of C1-C2. Inversion of the physiologic cervical lordosis.
 
Amorphous calcification ventral to the body of C1-C2.
 
Amorphous calcification ventral to the body of C1-C2 (blue arrow and circular shadowing).
 
 
 
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