Presentation
Low back pain.
Patient Data
Age: 80 years
Gender: Male
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
From the case:
Chordoma - lumbar spine
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T1W left parasagittal image shows hypointense well-defined nodular lesion of L3. Corresponding STIR image shows high signal lesion.
T1W fat sat after contrast administration demonstrates homogeneous enhancement of the lesion. Corresponding axial T1W fat sat after contrast administration shows homogenous enhancement of the lesion, left paramedian in position.
From the case:
Chordoma - lumbar spine
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Axial CT image shows left transpedicular co-axial biopsy needle.
Case Discussion
Biopsy-proven L3 chordoma. The lumbar spine is an atypical location for chordomas, which are much more common in the sacrum and clivus.