Presentation
Low backache.
Patient Data
Age: 30 years
Gender: Male
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Fat containing lesion, measuring approx. 8.5 x 13 x 19 mm (AP X TD X CC) is seen within the spinal canal extending from approx. L2-3 to L5-S1 level. Possible intramedullary extension of the lesion is seen with splaying of conus medullaris.
Splaying of surrounding cauda equina roots is seen.
The cord appears low lying with conus possibly at L3-4 level.
No obvious posterior vertebral fusion anomaly seen.
Straightening of lumbar lordosis is seen.
Posterocentral protrusion L4-5 disc is seen mild facet arthropathy, indenting thecal sac and bilateral neural foramina.
Case Discussion
Findings are consistent with intradural spinal lipoma.
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