EURORAD ESR

Case 14775

Lumbar Facet Hemorrhagic Synovial Cyst

Author(s)
Nersesyan N, Aliaga-Mendez R, Delgado-Moraleda JJ, Meneses Vega L, Pesquera-Muñoz AS, Pomares-Pomares JJ.

Hospital Clínico Universitario de Valencia,
Department of Radiology;
Avenida Blasco Ibañez 17
46010 Valencia, Spain;
Email:nerses90@gmail.com
 
Patient
female, 68 year(s)
 
 
  • Figure 1
    Lumbar Spine MRI
     

    A small rounded lesion in contiguity with the right L2-L3 facet joint. The signal intensity is high on sagittal T1-WI, in keeping with probable subacute haemorrhagic lesion.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-like intensity is shown on sagittal T2-WI, probably due to late subacute haemorrhage.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-forming intensity is shown on sagittal STIR images.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-forming intensity is shown on axial T2-WI, probably due to late subacute haemorrhage.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
  • Figure 2
    Lumbar Spine CT
     

    Axial unenhaced CT scan shows small subtle rounded lesion of soft tissue density.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Sagittal unenhaced CT scan shows small subtle rounded lesion of soft tissue density.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Coronal unenhaced CT scan shows small subtle rounded lesion of soft tissue density.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 3
    Lumbar Spine MRI - Control
     

    A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is isointense on sagittal T1-WI, in keeping with probable chronic haemorrhagic lesion.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on sagittal T2-WI.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on sagittal STIR.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;

    A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on axial T2-WI.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
A small rounded lesion in contiguity with the right L2-L3 facet joint. The signal intensity is high on sagittal T1-WI, in keeping with probable subacute haemorrhagic lesion.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-like intensity is shown on sagittal T2-WI, probably due to late subacute haemorrhage.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-forming intensity is shown on sagittal STIR images.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. A rounded ring-forming intensity is shown on axial T2-WI, probably due to late subacute haemorrhage.
 
Axial unenhaced CT scan shows small subtle rounded lesion of soft tissue density.
 
Sagittal unenhaced CT scan shows small subtle rounded lesion of soft tissue density.
 
Coronal unenhaced CT scan shows small subtle rounded lesion of soft tissue density.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is isointense on sagittal T1-WI, in keeping with probable chronic haemorrhagic lesion.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on sagittal T2-WI.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on sagittal STIR.
 
A small rounded lesion in contiguity with the right L2-L3 facet joint. The lesion is hypointense on axial T2-WI.
 
 
 
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