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Epidural and dural thoracic spinal ossification

Case contributed by Fakhry Mahmoud Ebouda
Diagnosis probable

Presentation

Incidental finding during chest CT.

Patient Data

Age: 55 years
Gender: Female

A linear posterior dural and epidural ossific lesion spanning T10 and T11 vertebral bodies. It measures 6.0 x 0.3 cm in its CC and AP dimensions respectively.

A linear lesion is present in the spinal canal posteriorly, at the T10-T11 levels. It is inseparable from the posterior dura which appears mildly thickened, anterior to the posterior epidural fat, and mildly encroaches on the posterior dural sac. It appears low signal on T1 and T2, and has no significant enhancement. 

Case Discussion

Incidentally noted posterior dural ossification at lower thoracic spine levels, with mild encroachment on the posterior dural sac.

Differential diagnosis includes:

Spinal tumors that may calcify

We are waiting for histopathological confirmation, to determine the etiology.

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