GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Acute Schmorl node

Case contributed by Mostafa Elfeky
Diagnosis almost certain

Presentation

Low back pain.

Patient Data

Age: 45 years
Gender: Male
mri

Focal herniation of L4-5 disc material is noted involving the upper endplate of L5, in keeping with Schmorl node. It is surrounded by T1 low signal and T2 high signal endplate change at represents bone marrow edema.

L3-4 and L4-5 disc desiccation, showing decreased height and hydration signals.

L4-5 diffuse posterior disc bulge.

Lumbosacral transitional vertebra with pseudoarticulation of left transverse process of L5 with left ala of the sacrum, Castellvi type 2a.

Case Discussion

Bone marrow edema surrounding intravertebral disc herniation favors acute Schmorl's node.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.