EURORAD ESR

Case 14642

Unusual migration of lumbar disk fragment to the posterior epidural space.

Author(s)
Arribas J, Martín C, Adrián L, Alonso E, Riñones E, Rubio M.J

Hospital Universitario de Burgos (HUBU), Department of Radiology; Burgos; Spain
Email:javiag26@gmail.com
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Sagital T1-w MRI

    Sagital T1WI showed hypointense nodular lesion at the posterior epidural space at the L3-L4 level.

     
    Area of Interest: Neuroradiology spine; Imaging Technique: MR; Procedure: Education; Special Focus: Acute;
     
     
  • Figure 2
    Sagital T2-w MRI

    Sagital T2WI. Hyperintense nodular lesion at the posterior epidural space at the L3-L4 level.

     
    Area of Interest: Neuroradiology spine; Imaging Technique: MR; Procedure: eLearning; Special Focus: Acute;
     
     
  • Figure 3
    Axial T2-w MRI

    Axial T2WI. Hyperintense nodular lesion at the posterior epidural space, compressing the dura

     
    Area of Interest: Neuroradiology spine; Imaging Technique: MR; Procedure: eLearning; Special Focus: Acute;
     
     
  • Figure 4
    Sagital T1 MRI with fat saturation and gadolinium

    Sagital gadolinium-enhanced T1-weighted MRI with fat saturation shows a rim enhancement at the disk fragment level. There is also evidence of enhancement of the nerve roots of the cauda equina following inflammatory...

     
    Area of Interest: Neuroradiology spine; Imaging Technique: MR; Procedure: eLearning; Special Focus: Acute;
     
     
  • Figure 5
    Axial T1 MRI with fat saturation and gadolinium

    A tract like structure with enhancement extends to the disc L3-L4 in right side edge suggesting the route of the migration.

     
    Area of Interest: Neuroradiology spine; Imaging Technique: MR; Procedure: eLearning; Special Focus: Acute;
     
     
Sagital T1WI showed hypointense nodular lesion at the posterior epidural space at the L3-L4 level.
 
Sagital T2WI. Hyperintense nodular lesion at the posterior epidural space at the L3-L4 level.
 
Axial T2WI. Hyperintense nodular lesion at the posterior epidural space, compressing the dura
 
Sagital gadolinium-enhanced T1-weighted MRI with fat saturation shows a rim enhancement at the disk fragment level. There is also evidence of enhancement of the nerve roots of the cauda equina following inflammatory changes.
 
A tract like structure with enhancement extends to the disc L3-L4 in right side edge suggesting the route of the migration.
 
 
 
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