Lumbar metastasis

Case contributed by A.Prof Frank Gaillard
MRI

L4 has mild loss of height with low T1 and T2 bone marrow signal and post contrast enhancement. "Curtain sign" is seen on the axial slices, indicating extension into the anterior epidural space. 

Nuclear medicine

Bone scan

Corresponding increased activity in the L4 vertebral body. 

Case Discussion

Patient had a history of metastatic lung cancer.

Bronchial brushing cytology: positive for malignant cells. The cytological findings are consistent with a non-small cell carcinoma.

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Case information

rID: 4655
Published: 26th Sep 2008
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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