Presentation
Low back pain radiating to the right leg.
Patient Data
Age: 65 years
Gender: Female
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Info
The MRI sequences demonstrate a posterior epidural mass at L2-L3 level, of high signal intensity on both T1WI/T2WI, partially attenuated on STIR sequence with moderate heterogeneous enhancement on postcontrast sequences. A mass effect is noted on the adjacent nerve roots which are displaced anteriorly.
Lumbar disc disease with disc herniation on the right side at the L4-S1 level, compressing the adjacent S1 nerve root.
Case Discussion
MRI features are most consistent of an epidural angiolipoma, displacing the adjacents nerve roots (incidental finding) in a patient with disc herniation.
Additional contributor/ C. Boukaaba, MD
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