Hemispherical spondylosclerosis (MRI)

Case contributed by Dr Roberto Schubert

Presentation

Chronic backaches without sciatica.

Patient Data

Age: 50
Gender: Female
Modality: MRI

T1- and (predominantly) T2- hypointense lesion adjacent to the ground plate of the 2nd lumbar vertebral body with a dome-like upper border. Note the presence of degenerative disc disease (DDD) at L2/3, compared with the segments above and below.

Case Discussion

This polyaetiologic, but mostly degenerative lesion must be differentiated from neoplastic or infectious conditions. It is probably identical to type III vertebral end plate changes in DDD, as described by Modic.

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Case Information

rID: 14687
Case created: 22nd Aug 2011
Last edited: 15th Oct 2015
Inclusion in quiz mode: Included

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