Diffuse idiopathic skeletal hyperostosis (DISH)

Case contributed by Dr David Cuete

Presentation

Dysphagia, history of prostate cancer.

Patient Data

Age: 60 years old
Gender: Male
Modality: X-ray

Ossification of anterior longitudinal ligament is noted from C2 to D1 level with relative preservation of disk spaces and facetal joints.

Important ossification of anterior longitudinal ligament from C2 to T1, it is protruding and compressing into the pharyngoesophageal cavity , this is more pronounced at the C3-C4 level. It is noted also the posterior longitudinal ligament ossification. Heterogeneity density of the vertebral bodies is observed with areas of blastic lesions, consistent with metastasis of the known prostate primary.

Case Discussion

Classical findings of DISH.

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Case Information

rID: 45798
Case created: 8th Jun 2016
Last edited: 8th Jun 2016
Inclusion in quiz mode: Included

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