Calcified disc herniation

Case contributed by Yaïr Glick
Diagnosis almost certain

Presentation

Left flank pain, tenderness on percussion. Incidental finding.

Patient Data

Age: 70 years
Gender: Male
ct

Calcified right prearticular disc herniation at T9-T10 level, compressing the thecal sac and probably the root of right T10 spinal nerve. The nucleus pulposus shows calcifications contiguous with the herniation.
Arthritic changes in the costovertebral and costotransverse joints.
Right and left anterior vertebral osteophytes, more prominent on the right.

Small left Bochdalek hernia (see coronal reformation) containing fat.

Case Discussion

Incidental finding of a calcified disc herniation.

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