EURORAD ESR

Case 10749

Lumbo-sacral synovial cyst of the spine

Author(s)
Nitesh Shekhrajka, Krishnakumari A. Modi, Sudeepa de Vatwani, Jens K. Iversen

Regionshospitalet Horsens, Biilleddiagnostisk Afdeling; Sundvej 30 8700 Horsens, Denmark; Email:nitesh1703@gmail.com
 
Patient
female, 80 year(s)
 
 
  • Figure 1
    NCCT scanning of lumbo-sacral spine

    Shows 20 x 15 mm large cystic process with peripheral calcification and pressure effect on posterior wall of L5 vertebra on left side. Degenerative changes in left sided facet joint with vacuum phenomena can also...

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 2
    NCCT scanning of lumbo-sacral spine coronal reconstruction
     

    20 x 15 mm large cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    20 x 15 mm large cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Non-contrast CT examination of lumbo-sacral spine in bone window setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomena.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Non-contrast CT examination of lumbo-sacral spine in bone window setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomena.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 3
    NCCT examination of lumbo-sacral spine sagittal reconstruction
     

    Shows 20 x 15 mm large cystic process with peripheral rim calcification and pressure effect on posterior wall of L5 vertebrae on left side.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;

    Non-contrast CT examination of lumbosacral spine in bone setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomenon.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 4
    MRI lumbosacral spine

    T1 weighted image without contrast shows well-defined hypointense round lesion at the level of L5 on left side. Lesion is extradural. Duramater is pushed medially. Compression on the vertebral body can be seen.

     
    Area of Interest: Musculoskeletal soft tissue; Neuroradiology spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 5
    MRI of lumbo sacral spine

    MRI of lumbosacral spine inversion recovery sequence(STIR) shows well defined round process with inhomogenous high signal intensity, lying at level of L5 on left side. Compression on L5 vertebra seen without bone oedema.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 6
    MRI of lumbo sacral columna

    MRI lumbosacral spine with contrast medium shows no enhancement of the process.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
  • Figure 7
    MRI of lumbosacral columna

    MRI of lumbosacral spine T2 weighted axial image showing fluid component of the cyst at the level of L5 on left side. Joint effusion in facet joint on the same level can also be appreciated.

     
    Area of Interest: Musculoskeletal spine; Neuroradiology spine; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Cysts;
     
     
Shows 20 x 15 mm large cystic process with peripheral calcification and pressure effect on posterior wall of L5 vertebra on left side. Degenerative changes in left sided facet joint with vacuum phenomena can also be seen.
 
20 x 15 mm large cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.
 
20 x 15 mm large cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.
 
Cystic process with peripheral calcification lying in the spinal canal at L5/S1 level on left side.
 
Non-contrast CT examination of lumbo-sacral spine in bone window setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomena.
 
Non-contrast CT examination of lumbo-sacral spine in bone window setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomena.
 
Shows 20 x 15 mm large cystic process with peripheral rim calcification and pressure effect on posterior wall of L5 vertebrae on left side.
 
Non-contrast CT examination of lumbosacral spine in bone setting shows degenerative changes in the left sided facet joint of L5/S1 with vacuum phenomenon.
 
T1 weighted image without contrast shows well-defined hypointense round lesion at the level of L5 on left side. Lesion is extradural. Duramater is pushed medially. Compression on the vertebral body can be seen.
 
MRI of lumbosacral spine inversion recovery sequence(STIR) shows well defined round process with inhomogenous high signal intensity, lying at level of L5 on left side. Compression on L5 vertebra seen without bone oedema.
 
MRI lumbosacral spine with contrast medium shows no enhancement of the process.
 
MRI of lumbosacral spine T2 weighted axial image showing fluid component of the cyst at the level of L5 on left side. Joint effusion in facet joint on the same level can also be appreciated.
 
 
 
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