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?
