EURORAD ESR

Case 14834

Scoliosis secondary to spinal osteoblastoma

Author(s)
Eva Llopis, Diego Osorio

Medellin 050021, Colombia;
Email:daossorio@gmail.com
 
Patient
male, 21 year(s)
 
 
  • Figure 1
    Scoliosis secondary to spinal osteoblastoma
     

    Plain film shows a thoracic dextroscoliosis with a doubtful sclerotic lesion on the left side of T6 (arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Initial plain film performed 3 years ago shows a dorsal dextroscoliosis of short segment without the sclerotic area present on the following plain film.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: Conventional radiography; Procedure: Diagnostic procedure; Special Focus: Neoplasia;
     
     
  • Figure 2
    Scoliosis secondary to spinal osteoblastoma
     

    Axial T1Wi shows a heterogeneous low signal intensity lesion located in the left posterior elements of T6 (arrow).

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Axial T2Wi shows a heterogeneous low signal intensity lesion located in the left posterior elements associated with a severe oedema of vertebral bodies, posterior elements and adjacent soft tissues including the...

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 3
    Scoliosis secondary to spinal osteoblastoma
     

    Sagittal T2Wi shows a heterogeneous low signal intensity bone lesion (arrow) associated with oedema of vertebral bodies, posterior elements and adjacent soft tissues including the spinal canal and posterior...

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Sagittal T1Wi shows a heterogeneous hypointense lesion in posterior elements of T6.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Corresponding sagittal contrast-enhanced fat saturated T1Wi shows heterogeneous enhancement of the lesion and marked enhancement of the adjacent vertebrae bodies and especially of the soft tissues (“flare...

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Dynamic enhancement type 1 curve showing arterial and early enhancement of the lesion with posterior washout of contrast agent.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR-Functional imaging; Procedure: Education; Special Focus: Neoplasia;
     
     
  • Figure 4
    Scoliosis secondary to spinal osteoblastoma
     

    Axial MDCT scan shows an expansile bone lesion with diffuse mineralised matrix located in the lamina and left articular facet of T6 associated with enlargement and sclerosis of the posterior ribs.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Neoplasia;

    Sagittal multiplanar reconstructions MDCT scan shows the lesion with diffuse mineralised matrix located in the lamina and left articular facet of T6 associated with foraminal stenosis (arrow)

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: MR; Procedure: Education; Special Focus: Neoplasia;

    Sagittal multiplanar reconstruction MDCT scan shows chronic reactive changes with enlargement and sclerosis of spinous process, soft tissue calcifications and secondary dorsal kyphosis.

     
    Area of Interest: Musculoskeletal spine; Imaging Technique: CT; Procedure: Education; Special Focus: Neoplasia;
     
     
Plain film shows a thoracic dextroscoliosis with a doubtful sclerotic lesion on the left side of T6 (arrow).
 
Initial plain film performed 3 years ago shows a dorsal dextroscoliosis of short segment without the sclerotic area present on the following plain film.
 
Axial T1Wi shows a heterogeneous low signal intensity lesion located in the left posterior elements of T6 (arrow).
 
Axial T2Wi shows a heterogeneous low signal intensity lesion located in the left posterior elements associated with a severe oedema of vertebral bodies, posterior elements and adjacent soft tissues including the spinal canal.
 
Sagittal T2Wi shows a heterogeneous low signal intensity bone lesion (arrow) associated with oedema of vertebral bodies, posterior elements and adjacent soft tissues including the spinal canal and posterior paravertebral muscles.
 
Sagittal T1Wi shows a heterogeneous hypointense lesion in posterior elements of T6.
 
Corresponding sagittal contrast-enhanced fat saturated T1Wi shows heterogeneous enhancement of the lesion and marked enhancement of the adjacent vertebrae bodies and especially of the soft tissues (“flare phenomenon”).
 
Dynamic enhancement type 1 curve showing arterial and early enhancement of the lesion with posterior washout of contrast agent.
 
Axial MDCT scan shows an expansile bone lesion with diffuse mineralised matrix located in the lamina and left articular facet of T6 associated with enlargement and sclerosis of the posterior ribs.
 
Sagittal multiplanar reconstructions MDCT scan shows the lesion with diffuse mineralised matrix located in the lamina and left articular facet of T6 associated with foraminal stenosis (arrow)
 
Sagittal multiplanar reconstruction MDCT scan shows chronic reactive changes with enlargement and sclerosis of spinous process, soft tissue calcifications and secondary dorsal kyphosis.
 
 
 
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