Presentation
Withheld.
Patient Data
Age: Child
From the case:
Lipomyelocele
{"study":{"id":7380,"case_slug":"lipomyelocele-2","modality":"MRI","series":[{"id":23419,"content_type":"image/jpeg","frames":[{"id":23419,"width":962,"height":1173,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"59b8f5eab73c3f411c941884b86d44_tiny.jpeg","jumbo":"59b8f5eab73c3f411c941884b86d44_jumbo.jpeg","small":"59b8f5eab73c3f411c941884b86d44_small.jpeg","thumb":"59b8f5eab73c3f411c941884b86d44_thumb.jpeg","medium":"59b8f5eab73c3f411c941884b86d44_medium.jpeg","gallery":"59b8f5eab73c3f411c941884b86d44_gallery.jpeg","big_gallery":"59b8f5eab73c3f411c941884b86d44_big_gallery.jpeg","original":"59b8f5eab73c3f411c941884b86d44.jpg"}]},"perspective":"Sagittal","specifics":"T2"},{"id":23420,"content_type":"image/jpeg","frames":[{"id":23420,"width":921,"height":1173,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"afcea524c4896a876b4733be081256_tiny.jpeg","jumbo":"afcea524c4896a876b4733be081256_jumbo.jpeg","small":"afcea524c4896a876b4733be081256_small.jpeg","thumb":"afcea524c4896a876b4733be081256_thumb.jpeg","medium":"afcea524c4896a876b4733be081256_medium.jpeg","gallery":"afcea524c4896a876b4733be081256_gallery.jpeg","big_gallery":"afcea524c4896a876b4733be081256_big_gallery.jpeg","original":"afcea524c4896a876b4733be081256.jpg"}]},"perspective":"Sagittal","specifics":"T2"},{"id":23421,"content_type":"image/jpeg","frames":[{"id":23421,"width":879,"height":1171,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"d01bf96666b22980d00c22d033c384_tiny.jpeg","jumbo":"d01bf96666b22980d00c22d033c384_jumbo.jpeg","small":"d01bf96666b22980d00c22d033c384_small.jpeg","thumb":"d01bf96666b22980d00c22d033c384_thumb.jpeg","medium":"d01bf96666b22980d00c22d033c384_medium.jpeg","gallery":"d01bf96666b22980d00c22d033c384_gallery.jpeg","big_gallery":"d01bf96666b22980d00c22d033c384_big_gallery.jpeg","original":"d01bf96666b22980d00c22d033c384.jpg"}]},"perspective":"Sagittal","specifics":"T1"},{"id":23422,"content_type":"image/jpeg","frames":[{"id":23422,"width":880,"height":1168,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"7a7c623681e4f94d0d9136e2b74a1d_tiny.jpeg","jumbo":"7a7c623681e4f94d0d9136e2b74a1d_jumbo.jpeg","small":"7a7c623681e4f94d0d9136e2b74a1d_small.jpeg","thumb":"7a7c623681e4f94d0d9136e2b74a1d_thumb.jpeg","medium":"7a7c623681e4f94d0d9136e2b74a1d_medium.jpeg","gallery":"7a7c623681e4f94d0d9136e2b74a1d_gallery.jpeg","big_gallery":"7a7c623681e4f94d0d9136e2b74a1d_big_gallery.jpeg","original":"7a7c623681e4f94d0d9136e2b74a1d.jpg"}]},"perspective":"Sagittal","specifics":"T1"},{"id":23423,"content_type":"image/jpeg","frames":[{"id":23423,"width":827,"height":1169,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"8ef7ae7d3dd4eab5682f26a0beec28_tiny.jpeg","jumbo":"8ef7ae7d3dd4eab5682f26a0beec28_jumbo.jpeg","small":"8ef7ae7d3dd4eab5682f26a0beec28_small.jpeg","thumb":"8ef7ae7d3dd4eab5682f26a0beec28_thumb.jpeg","medium":"8ef7ae7d3dd4eab5682f26a0beec28_medium.jpeg","gallery":"8ef7ae7d3dd4eab5682f26a0beec28_gallery.jpeg","big_gallery":"8ef7ae7d3dd4eab5682f26a0beec28_big_gallery.jpeg","original":"8ef7ae7d3dd4eab5682f26a0beec28.jpg"}]},"perspective":"Sagittal","specifics":"T1"},{"id":23424,"content_type":"image/jpeg","frames":[{"id":23424,"width":912,"height":849,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"da6aff0a2de67b888dfd9fdf9f7f39_tiny.jpeg","jumbo":"da6aff0a2de67b888dfd9fdf9f7f39_jumbo.jpeg","small":"da6aff0a2de67b888dfd9fdf9f7f39_small.jpeg","thumb":"da6aff0a2de67b888dfd9fdf9f7f39_thumb.jpeg","medium":"da6aff0a2de67b888dfd9fdf9f7f39_medium.jpeg","gallery":"da6aff0a2de67b888dfd9fdf9f7f39_gallery.jpeg","big_gallery":"da6aff0a2de67b888dfd9fdf9f7f39_big_gallery.jpeg","original":"da6aff0a2de67b888dfd9fdf9f7f39.jpg"}]},"perspective":"Axial","specifics":"T1"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":5673,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Selected images from a full-spine MRI. The spinal cord shows normal caliber and signal intensity but extends abnormally low, reaching down to the level of L5. Between L2/3 and S1, a fatty mass is shown dorsal to the distal cord and contiguous with subcutaneous fat through a bony defect posteriorly. The fatty mass-neural placode interface is within the spinal canal.
From the case:
Lipomyelocele
{"study":{"id":85273,"case_slug":"lipomyelocele-2","modality":"CT","series":[{"id":23425,"content_type":"image/jpeg","frames":[{"id":23425,"width":1145,"height":771,"current":true}],"annotations":[],"encodings":{"original_dicom":null,"video":null,"thumbnailed_files":[{"tiny":"d9e045cfac0991d4fdbdedddef33ef_tiny.jpeg","jumbo":"d9e045cfac0991d4fdbdedddef33ef_jumbo.jpeg","small":"d9e045cfac0991d4fdbdedddef33ef_small.jpeg","thumb":"d9e045cfac0991d4fdbdedddef33ef_thumb.jpeg","medium":"d9e045cfac0991d4fdbdedddef33ef_medium.jpeg","gallery":"d9e045cfac0991d4fdbdedddef33ef_gallery.jpeg","big_gallery":"d9e045cfac0991d4fdbdedddef33ef_big_gallery.jpeg","original":"d9e045cfac0991d4fdbdedddef33ef.jpg"}]},"perspective":"Axial","specifics":"non-contrast"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"frank","case_id":5673,"case_key_image_id":null,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}
Single axial image from a CT confirms the presence of a fatty mass within the spinal canal associated with deficient posterior elements.
Case Discussion
Findings in keeping with a lipomyelocele with tethered cord.