Sequestrated lumbar disc fragment

Case contributed by Douglas Henry
Diagnosis probable

Presentation

Low back pain and left leg paresthesia.

Patient Data

Age: 75 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Sagittal T2-weighted MR image of the lumbar spine at the midline plane reveals a mass lesion with hyperintensity relative to the intervertebral disk at the posterior epidural space at the L3 level, compressing the dura. On sagittal T1-weighted the mass is not evident because it is isointense to CSF. On sagittal and axial T1+Gad, the mass shows low signal intensity with peripheral contrast enhancement.

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