Aneurysmal bone cyst - sacrum

Case contributed by Dr Chris O'Donnell

Presentation

7 months of low back pain and waddling gait

Patient Data

Age: 12
Gender: Male
Modality: X-ray

Expansile lytic lesion in left body of the sacrum. 

Modality: Nuclear medicine

Delayed scan shows minimal isotope accumulation in the left sacrum. 

SPECT coronal slices show photopaenic lesion in left sacrum with foci of increased isotope accumulation. 

Modality: MRI

Typical features of ABC ie expansile mass with large cavities containing fluid/fluid levels indicating blood product. Minimal peripheral enhancement of the cystic spaces

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Case Information

rID: 16615
Case created: 3rd Feb 2012
Last edited: 21st Sep 2015
Inclusion in quiz mode: Included

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