EURORAD ESR

Case 14846

Retroclival ecchordosis physaliphora

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

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 the basilar artery (red – right, blue – left) which suppresses 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 the basilar artery (red – right, blue – left) which suppresses 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 the basilar artery (red – right, blue – left) which suppresses 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 the basilar artery (red – right, blue – left) which suppresses 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 the basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the...

     
    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...

     
    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
    Sagittal reformat of CISS sequence

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

     
    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 the basilar artery (red – right, blue – left) which suppresses on FLAIR images (lower row).
 
Axial T2 – Well-defined small T2 hyperintense lesions on either side of the basilar artery (red – right, blue – left) which suppresses on FLAIR images (lower row).
 
Axial T2 – Well-defined small T2 hyperintense lesions on either side of the basilar artery (red – right, blue – left) which suppresses on FLAIR images (lower row).
 
Axial T2 – Well-defined small T2 hyperintense lesions on either side of the basilar artery (red – right, blue – left) which suppresses on FLAIR images (lower row).
 
Axial CISS sequence – Thin-walled retroclival T2 hyperintense lesions (yellow arrow) on either side of the basilar artery (green arrow) with no mass effect. Small pedicle attaching the retro-clival lesion with the clivus (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 (red arrow).
 
Axial CISS sequence – Magnified image of pedicle attaching the retroclival lesion to clivus demonstrating the bony defect (violet arrow).
 
Sagittal reformat of CISS sequence – well-defined thin-walled T2 hyperintense retroclival lesion (green arrow) with pedicle.
 
 
 
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