Solitary dense pedicle - diagnosis not known

Case contributed by Dr Maulik S Patel

Presentation

Non-traumatic backache.

Patient Data

Age: about 55 yrs
Gender: Male
Modality: X-ray

Dense left pedicle of D12 vertebral body is noted.

Generalized osteopenia is noted.

Surgical staples are noted in right upper anterior abdomen - post laparoscopic cholecystectomy staples.

Case Discussion

Differentials for solitory dense pedicle includes 

-  Osteoblastic metastasis, osteoma, osteoblastoma, secondary to spondylosis, secondary to congenitally absent or hypoplastic contralateral pedicle / posterior elements.

Further work up by MR was suggested. Not available.

 

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Case Information

rID: 29836
Case created: 26th Jun 2014
Last edited: 28th Apr 2017
System: Spine
Inclusion in quiz mode: Included

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