Residual Myodil contrast within thecal sac

Case contributed by Dr Ali Abougazia

Presentation

Back pain for years.

Patient Data

Age: 73
Gender: Female
Modality: X-ray

Multiple well-defined rounded and ovoid dense shadows are seen within the spinal canal and along spinal nerve sheathes, mostly of old intra-thecal contrast (myodil) injections.

Bilateral osteitis condensans ilii.

Case Discussion

Iodophenylundecylic acid (brand name = Myodil (Glaxo))is an oily organic iodine containing contrast material which was used for myelography. Residual contrast remains for years. Has been implicated in development of arachnoiditis, perhapse of the order of 1%.

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Case Information

rID: 27803
Case created: 20th Feb 2014
Last edited: 5th Oct 2015
Inclusion in quiz mode: Included

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