Case 7.3

2014 ◽  
pp. 312-313
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Renal Mass ◽  
Left Kidney ◽  
Cystic Mass ◽  
Thick Wall ◽  
Arterial Phase ◽  
Lower Pole ◽  
Simple Cyst ◽  
Spine Mri

62-year-old man with neck and back pain; a left renal mass was incidentally noted on lumbar spine MRI Coronal SSFP image (Figure 7.3.1) and axial fat-suppressed FSE image (Figure 7.3.2) reveal a large, complex cystic mass with a thick wall projecting from the lower pole of the left kidney (and a simple cyst in the upper pole). Axial arterial phase 3D SPGR image (...

Case 7.5

2014 ◽  
pp. 316-317
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Renal Mass ◽  
Ureteral Stone ◽  
Left Kidney ◽  
Cystic Mass ◽  
Arterial Phase ◽  
Lower Pole ◽  
New Onset

68-year-old man with new-onset anuria and a remote right nephrectomy; an obstructing left ureteral stone was found on CT, as well as a cystic left renal mass Coronal SSFP images (Figure 7.5.1) reveal a complex, septated cystic mass projecting from the lower pole of the left kidney. Axial arterial phase (...

scholarly journals Osteopetrosis - A Case Series Exploring Complications and Multidisciplinary Management

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. A209-A209
Author(s):  
Catherine Stewart ◽  
Paul Benjamin Loughrey ◽  
John R Lindsay
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Medical History ◽  
Scaphoid Fracture ◽  
Past Medical History ◽  
Dxa Scan ◽  
X Ray ◽  
Management Of Complications ◽  
History Of ◽  
Spine Mri

Abstract Background: Osteopetrosis is a group of rare inherited skeletal dysplasias, with each variant sharing the hallmark of increased bone mineral density (BMD). Abnormal osteoclast activity produces overly dense bone predisposing to fracture and skeletal deformities. Whilst no cure for these disorders exists, endocrinologists play an important role in surveillance and management of complications. Clinical Cases: A 43-year-old female had findings suggestive of increased BMD on radiographic imaging performed to investigate shoulder and back pain. X-ray of lumbar spine demonstrated a ‘rugger jersey’ spine appearance, while shoulder X-ray revealed mixed lucency and sclerosis of the humeral head. DXA scan showed T-scores of +11 at the hip and +12.5 at the lumbar spine. MRI of head displayed bilateral narrowing and elongation of the internal acoustic meatus and narrowing of the orbital foramina. Genetic assessment confirmed autosomal dominant osteopetrosis with a CLCN7 variant. Oral colecalciferol supplementation was commenced and multi-disciplinary management instigated with referral to ophthalmology and ENT teams. A 25-year-old male presented with a seven-year history of low back pain and prominent bony swelling around the tibial tuberosities and nape of neck. Past medical history included repeated left scaphoid fracture in 2008 and 2018. Recovery from his scaphoid fracture was complicated by non-union requiring bone grafting with open reduction and fixation. Plain X-rays of the spine again demonstrated ‘rugger jersey’ spine. DXA scan was notable for elevated T scores; +2.9 at hip and +5.8 lumbar spine. MRI spine showed vertebral endplate cortical thickening and sclerosis at multiple levels. The patient declined genetic testing and is under clinical review. A 62-year-old male was referred to the bone metabolism service following a DXA scan showing T scores of +11. 7 at the hip and +13 at the lumbar spine. His primary complaint was of neck pain and on MRI there was multi-level nerve root impingement secondary to facet joint hypertrophy. Past medical history was significant for a long history of widespread joint pains; previous X-ray reports described generalized bony sclerosis up to 11 years previously. Clinical and radiological monitoring continues. Conclusion: Individuals with osteopetrosis require a multidisciplinary approach to management. There is no curative treatment and mainstay of therapy is supportive with active surveillance for complications.

Associations Between Low Back Pain and Lumbar Spine MRI in Olympic Class Sailors

2015 ◽  
Vol 47 ◽  
pp. 627-628
Author(s):  
Adrian B. Schultz ◽  
Peter Logan ◽  
Michael J. Blackburn ◽  
Donna N. White ◽  
Michael K. Drew ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Mri

scholarly journals Laparoscopic Excision of A Rare Retroperitoneal Non-Pancreatic Pseudocyst

2014 ◽  
Vol 2 (1) ◽  
pp. 35-37
Author(s):  
Sardar Rezaul Islam ◽  
Shafiqur Rahman ◽  
Kamal Pasha ◽  
ASM Sayem
Keyword(s):  
Cystic Lesion ◽  
Pancreatic Pseudocyst ◽  
Left Kidney ◽  
Cystic Mass ◽  
Epithelial Lining ◽  
Lower Pole ◽  
Abdominal Ultrasonography ◽  
Laparoscopic Excision ◽  
History Of ◽  
Upper Abdomen

Retroperitoneal cysts (RCs) are rare. They are composed of both epithelial and mesothelial tissues, and those without an epithelial lining in the wall are called pseudocysts. Most retroperitoneal pseudocysts are pancreatic in origin, and nonpancreatic pseudocysts are very rarely reported.We report a case of large cystic lesion adjacent to the left kidney in a 25 years old man. He presented with 2 and half years history of gradual swelling of left upper abdomen. Abdominal ultrasonography and CT scan showed a large unilocular cystic mass in left side of the abdomen, which was attached with the lower pole of the left kidney. The cystic mass was excised laparoscopically. Histology showed a fibrous wall without epithelial lining thus confirming the diagnosis of a nonpancreatic pseudocyst.

scholarly journals Spine MRI Patterns And Predictors of Disability In Patients With Lower Back Pain. A Prospective Cross-Sectional Study at University of Gondar Comprehensive Specialized Hospital, North West Ethiopia. 2020.

2021 ◽  
Author(s):  
Yonathan Gebrewold ◽  
Bati Tesfaye
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Cross Sectional Study ◽  
Foraminal Stenosis ◽  
Mri Findings ◽  
Disc Disease ◽  
Cross Sectional ◽  
North West ◽  
Degree Of Disability ◽  
Spine Mri

Abstract Background: Low back pain (LBP) has become one of the most serious public health problems with substantial socioeconomic implication. Degenerative disc disease one of the commonest cause of LBP. Magnetic resonance imaging (MRI) is routinely utilized in evaluation patients with degenerative changes of the lumbar spine. However there are contradictors reports with regards to association of MRI findings of lumbar spine and patients’ symptoms.Objective: This study is aimed determine correlation of degree of disability with lumbar spine MRI findings in patients with LBP at University of Gondar comprehensive Specialized Hospital (UoGCSH), North West Ethiopia, 2020.Methods and Materials. A prospective cross-sectional study was conducted on 72 consecutively enrolled patients with lower back pain who underwent lumbar MRI scan. Degree of disability was measured using Oswestry disability Index (ODI) questionnaire translated to local language. Association between lumbar spine MRI parameters and ODI score and category was tested using Spearman’s rank correlation coefficient and Chi square tests. Results The mean age the study subjects was 43.81±1.88 years (range 22-83 years). 59.7% of the study population were Female. In terms of ODI category, most fell under minimal and moderate disability 33 (45.8%) and 25(34.7%) respectively. Disc bulge (81.9%) and foraminal stenosis were the most frequent MRI abnormalities detected. ODI score showed weak correlation with grade of spinal canal stenosis. Foraminal stenosis grade was not correlated ODI.Conclusion: The clinical relevance of MRI findings in patients with degenerative disc disease is limited and MRI should be sparingly ordered in evaluation of these patients particularly in resource constrained settings.

scholarly journals Lumbar spine Schmorl's nodes; prevalence in adults with back pain, and their relation to vertebral endplate degeneration

2019 ◽  
Vol 50 (1) ◽  
Author(s):  
Israa Mohammed Sadiq
Keyword(s):  
Back Pain ◽  
Lumbar Spine ◽  
Disc Degeneration ◽  
Age Groups ◽  
Vertebral Endplate ◽  
Cross Sectional ◽  
Adjacent Vertebral Body ◽  
City Population ◽  
Schmorl’S Nodes ◽  
Spine Mri

Abstract Background In 1927, Schmorl described a focal herniation of disc material into the adjacent vertebral body through a defect in the endplate, named as Schmorl’s node (SN). The aim of the study is to reveal the prevalence and distribution of Schmorl’s nodes (SNs) in the lumbar spine and their relation to disc degeneration disease in Kirkuk city population. Results A cross-sectional analytic study was done for 324 adults (206 females and 118 males) with lower back pain evaluated as physician requests by lumbosacral MRI at the Azadi Teaching Hospital, Kirkuk city, Iraq. The demographic criteria of the study sample were 20–71 years old, 56–120 kg weight, and 150–181 cm height. SNs were seen in 72 patients (22%). Males were affected significantly more than the females (28.8% vs. 18.8%, P = 0.03). SNs were most significantly affecting older age groups. L1–L2 was the most affected disc level (23.6%) and the least was L5–S1 (8.3%). There was neither a significant relationship between SN and different disc degeneration scores (P = 0.76) nor with disc herniation (P = 0.62, OR = 1.4), but there was a significant relation (P = 0.00001, OR = 7.9) with MC. Conclusion SN is a frequent finding in adults’ lumbar spine MRI, especially in males; it is related to vertebral endplate bony pathology rather than discal pathology.

Case 7.23

2014 ◽  
pp. 349-350
Author(s):  
Christine U. Lee ◽  
James F. Glockner
Keyword(s):  
Abdominal Pain ◽  
Signal Intensity ◽  
Renal Mass ◽  
Cystic Lesion ◽  
Left Kidney ◽  
Chronic Abdominal Pain ◽  
Arterial Phase

21-year-old woman with chronic abdominal pain; CT revealed an incidental left renal mass Coronal SSFSE (Figure 7.23.1) and axial fat-suppressed FSE T2-weighted (Figure 7.23.2) images show a complex cystic lesion in the upper pole of the left kidney. Note also innumerable round lesions throughout the cortex of the left kidney showing markedly decreased T2-signal intensity. Axial arterial phase (...

Reducing Inappropriate Lumbar Spine MRI for Low Back Pain: Radiology Support, Communication and Alignment Network

2018 ◽  
Vol 15 (1) ◽  
pp. 116-122 ◽  
Author(s):  
Kevin Yuqi Wang ◽  
Christopher James Yen ◽  
Melissa Chen ◽  
Darshan Variyam ◽  
Tomas Uribe Acosta ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Low Back ◽  
Spine Mri

scholarly journals Lumbar spine MRI in upright position for diagnosing acute and chronic low back pain: statistical analysis of morphological changes

2012 ◽  
Vol 14 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Umberto Tarantino ◽  
Ezio Fanucci ◽  
Riccardo Iundusi ◽  
Monica Celi ◽  
Simone Altobelli ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Statistical Analysis ◽  
Lumbar Spine ◽  
Chronic Low Back Pain ◽  
Morphological Changes ◽  
Upright Position ◽  
Low Back ◽  
Spine Mri

scholarly journals Excruciating Low back Pain in an Acute Stroke Patient: A Case Report

2021 ◽  
Vol 2 (6) ◽  
pp. 01-04
Author(s):  
Meheroz H. Rabadi
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Lumbar Spine ◽  
Vertebral Osteomyelitis ◽  
Vital Signs ◽  
Rare Condition ◽  
Low Back ◽  
Mri Imaging ◽  
Acute Low Back Pain ◽  
Spine Mri

Background: Acute low back pain is one of the most common reasons for adults to see a physician. However, vertebral osteomyelitis (VO) is a rare condition, which mostly affects the lumbar spine. Lumbar spine MRI imaging is the diagnostic method of choice. If left untreated can lead to vertebral destruction or spinal abscess formation. Case: An 86-year-old man presented with a stroke to our facility, while undergoing therapy complained of excruciating low back pain that prevented him from undergoing therapy specially standing and walking. His vital signs were normal, and he was afebrile. Plain X-ray of the lower spine showed osteoarthritic changes. Patient was initially started on non-steroidal anti-inflammatory (NSAID) with no change in the severity of his low back pain. Lumbar vertebral spine magnetic resonance imaging (MRI) showed lumbar vertebral osteomyelitis. Initiation of IV antibiotics dramatically decreased the pain severity. Conclusion: Low back pain is common in the elderly population and responds effectively to NSAID. Persistence of low back pain in the presence of pathognomonic changes in the lumbar spine MRI indicate the presence of VO. Prompt treatment with empirical antibiotics is warranted.

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