Posterior lumbar subcutaneous oedema

Changed by Frank Gaillard, 13 Sep 2014

Updates to Article Attributes

Body was changed:

Posterior lumbar subcutaneous oedema is a very frequent finding on MRI of spine. A clinical correlation is almost always required to identify the significance of this.

Pathology

Causes:
  • overweight (raised BMI)
  • age (advancing age)
  • sex (more common in females)
  • posterior compartment degenerative changes (facet arthropathy)
  • infectious process
  • neoplastic causes

Radiographic features

MRI 

It is the same appearance as that of edema elsewhere in the body.

  • T2 and STIR - hyperintense signal
  • T1 - hypointense signal

Due to its distribution it is sometimes referred to as tramp-stamp oedema

  • -<li>overweight (raised BMI)</li>
  • -<li>age (advancing age)</li>
  • -<li>sex (more common in females)</li>
  • -<li>posterior compartment degenerative changes (facet arthropathy)</li>
  • -<li>infectious process</li>
  • -<li>neoplastic causes</li>
  • +<li>overweight (raised BMI)</li>
  • +<li>age (advancing age)</li>
  • +<li>sex (more common in females)</li>
  • +<li>posterior compartment degenerative changes (facet arthropathy)</li>
  • +<li>infectious process</li>
  • +<li>neoplastic causes</li>
  • -<li>
  • -<strong>T2</strong> and<strong> STIR</strong> - hyperintense signal</li>
  • -<li>
  • -<strong>T1</strong> - hypointense signal</li>
  • -</ul>
  • +<li>
  • +<strong>T2</strong> and<strong> STIR</strong> - hyperintense signal</li>
  • +<li>
  • +<strong>T1</strong> - hypointense signal</li>
  • +</ul><p>Due to its distribution it is sometimes referred to as <a title="Tramp-stamp oedema" href="/articles/tramp-stamp-edema">tramp-stamp oedema</a>. </p>

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