EURORAD ESR

Case 14846

Retroclival Ecchordosis Physaliphora

Author(s)
Dr Praveen .P.Wali
Dr Harsha Chadaga
Dr Anil .R
Dr Madhukumar

COLUMBIA ASIA HOSPITAL, COLUMBIA ASIA HOSPITAL, BRIGADE GATEWAY, RADIOLOGY; YESHWANTPUR 560022 BANGALORE, India; Email:wali.praveen@gmail.com
 
Patient
male, 52 year(s)
 
 
  • Figure 1
    Axial T2
     

    Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;

    Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;

    Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;

    Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;
     
     
  • Figure 2
    Axial CISS sequence
     

    Axial CISS sequence –Thin walled retroclival T2 hyperintense lesions(yellow arrow) on either side of basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the clivus...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;

    Axial CISS sequence –Thin walled retroclival T2 hyperintense lesions(yellow arrow) on either side of basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the clivus...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;
     
     
  • Figure 3
    Axial CISS sequence

    Axial CISS sequence – Magnified image of pedicle attaching the retroclival lesion to clivus demonstrating the bony defect ( violet arrow ).

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;
     
     
  • Figure 4
    Saggital reformat of CISS sequence

    Saggital reformat of CISS sequence – well defined thin walled T2 hyperintense retroclival lesion ( green arrow ) with pedicle seen.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Education; Special Focus: Cysts;
     
     
Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)
 
Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)
 
Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)
 
Axial T2 – Well defined small T2 hyperintense lesions on either side of basilar artery ( red – right , blue – left ) which suppress on FLAIR images ( lower row)
 
Axial CISS sequence –Thin walled retroclival T2 hyperintense lesions(yellow arrow) on either side of basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the clivus seen (red arrow )
 
Axial CISS sequence –Thin walled retroclival T2 hyperintense lesions(yellow arrow) on either side of basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the clivus seen (red arrow )
 
Axial CISS sequence – Magnified image of pedicle attaching the retroclival lesion to clivus demonstrating the bony defect ( violet arrow ).
 
Saggital reformat of CISS sequence – well defined thin walled T2 hyperintense retroclival lesion ( green arrow ) with pedicle seen.
 
 
 
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