Diffuse idiopathic skeletal hyperostosis (DISH)

Case contributed by Dr Ahmed Mahrous Saied

Presentation

Routine bone survey of patient with past history of breast cancer,

Patient Data

Age: 40
Gender: Female

Neck Pain, Limited movement

X-ray
  • Florid, flowing ossification is noted along the anterior or right 7 anterolateral aspects of at least four contiguous vertebrae.
  • disc spaces are usually well preserved.
  • ankylosis is more commonly seen in the thoracic than in the cervical or lumbar spine.
    • frequently incomplete
    • can have interdigitating areas of protruding disk material in the flowing ossifications

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