MedPix® Patient Chart - Case No: 3301 :: Imaging - Review Images

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History

Age: 15 :: Gender: boy

Patient History

15 y.o. boy with four month history of backache and left sided lumbar muscle stiffness. Patient reported needing to take motrin daily for these complaints.

Exam


Physical Exam and Laboratory


Imaging

Imaging - Review Images for PT: 3301

Findings


Summary of Findings

PLAIN FILM:
Expansile lytic lesion at right pedicle of L2. There is alsom a 9.5 degree levoconvex lumbar scoliosis as measured from the superior endplate of L2 to the inferior endplate of L4.

CT:
Nonagressive expansile lytic process at right pedicle of L2 involving the transverse process, posterior spinous process and pars interarticularis. Lesion has intact cortical margins and a few septations. Lesion expands the inner cortical margin into the spinal canal.


Imaging

Imaging - Review Images for PT: 3301

Diffferential


Differential Diagnosis

1. Osteoblastoma
2. Aneurysmal bone cyst


Imaging

Imaging - Review Images for PT: 3301

Diagnosis


Case Diagnosis

Dx: Osteoblastoma


Dx Confirmed by:



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Followup


Followup and Treatment

Treatment was excisional biopsy. Final pathology report was diagnosis of Osteoblastoma.

Discussion


Discussion for this Patient

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History:
15 y.o. boy with four month history of backache and left sided lumbar muscle stiffness. Patient reported needing to take motrin daily for these complaints.

Exam:


Findings:
PLAIN FILM:
Expansile lytic lesion at right pedicle of L2. There is alsom a 9.5 degree levoconvex lumbar scoliosis as measured from the superior endplate of L2 to the inferior endplate of L4.

CT:
Nonagressive expansile lytic process at right pedicle of L2 involving the transverse process, posterior spinous process and pars interarticularis. Lesion has intact cortical margins and a few septations. Lesion expands the inner cortical margin into the spinal canal.

Differential:
1. Osteoblastoma
2. Aneurysmal bone cyst

Diagnosis:
Osteoblastoma
Confirmed by:

Treatment and Followup:
Treatment was excisional biopsy. Final pathology report was diagnosis of Osteoblastoma.

Discussion:
See Factoid

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Case Contributor and Editor
Submitted by: Hayden O Jack - Author Info
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Case Accepted: :: Revised: :: Submitted:
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