Intra-articular synovial lipoma of the intervertebral joint

Case contributed by Dr Nick Tarasov

Presentation

Non-specific low back pain, no radicular pain

Patient Data

Age: 35 years
Gender: Male

Mild degenerative changes involving L3-S1 levels - disc bulging.

Fat containing mass within the right L3-L4 intervertebral joint with a signal loss on both STIR and T1 fat-saturated images leading to the right subarticular zone and mild dural sac stenosis.

Mild intervertebral osteoarthritic changes.

Case Discussion

Mentioned above findings are consistent with a rare appearance of the intra-articular intervertebral synovial lipoma.

Despite dural sac and subarticular zone stenosis, there are no specific symptoms.

STIR sequence doesn't exclude lipoma due to the T1 shortening effect. T1 fat-saturated images show typical features of the lipoma.

At our knowledge, there are no such reports in the international literature.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.