Lumbar spine chordoma

Case contributed by Dr Salem Bauones

Presentation

Low back pain.

Patient Data

Age: 80
Gender: Male
Modality: MRI

T1W left para sagittal image shows hypointense well defined nodular lesion of L3. Corresponding STIR image shows high signal lesion. 

T1W FatSat after contrast administration demonstrates homogeneous enhancement of the lesion. Corresponding axial T1W FatSat after contrast administration shows homogenous enhancement of the lesion, left paramedian in position.

Modality: CT

Axial CT image shows left transpedicular co-axial biopsy needle.

Case Discussion

Biopsy-proven L3 chordoma. The lumbar spine is an atypical location for chordomas, which are much more common in the sacrum and clivus. 

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Case Information

rID: 26115
Case created: 29th Nov 2013
Last edited: 11th Jan 2017
Inclusion in quiz mode: Included

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