Dear All,
So far I got the following:
– I believe this is CPPD of the spine. Definitely not tumor.
– Reminds me a bit of Paget although posterior elements not grossly involved. Wondering if the bridging bone is an incidental relation.
– DISH (inflammatory or fractured) or HDD of the longus colli tendon
I think we are going to run this case again through our Rheumatology MDT (the first time around the clinicians were not convinced).
Thank you all!
Best regards,
Dear OCADers,
I am hoping to get your opinion on this case.
67 year old presenting with sudden onset neck pain with weakness of right arm and tingling bilaterally.
Images show bony proliferation at C6-7 in the right paraspinal region. There is sclerosis and oedema of the adjacent vertebral bodies. There is further oedema in vertebral bodies below the level of concern. The longus coli muscles are oedematous on the right.
On Ct there is destruction of the adjacent vertebral bodies. Intervertebral disc is preserved with normal signal and preserved endplates.
Our differential at present includes inflammatory DISH, chordoma/chondrosarcoma, and calcific prevertebral tendinitis/HDD.
None of the above fully fits the imaging appearances.
Does anyone know what this is?
Thank you
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