MedPix® Patient Chart Case: 2380

History

Age: 77 :: Gender: man

Patient History

Increasing lower back pain over the past two weeks. No history of recent trauma.

Exam

Physical Exam and Laboratory

Imaging

Imaging - Review Images for PT: 2380

Findings

Summary of Findings

Multiple views of the lumbosacral spine demonstrate an intravertebral transverse central radiolucency with marginal sclerosis at the L1 vertebral level. The vertebral body appears partially collapsed. The bones are diffusely demineralized. Mild degenerative changes to the lumbosacral spine are noted, Figure 1.

Imaging

Imaging - Review Images for PT: 2380

Diffferential

Differential Diagnosis

Infection, neoplasm, chronic systemic steroid therapy, alcoholism, and radiation therapy.

Imaging

Imaging - Review Images for PT: 2380

Diagnosis

Case Diagnosis

Dx: Avascular Necrosis, 'vacuum disc'

Dx Confirmed by:

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History:
Increasing lower back pain over the past two weeks. No history of recent trauma.

Exam:

Findings:
Multiple views of the lumbosacral spine demonstrate an intravertebral transverse central radiolucency with marginal sclerosis at the L1 vertebral level. The vertebral body appears partially collapsed. The bones are diffusely demineralized. Mild degenerative changes to the lumbosacral spine are noted, Figure 1.

Differential:
Infection, neoplasm, chronic systemic steroid therapy, alcoholism, and radiation therapy.

Diagnosis:
Avascular Necrosis, 'vacuum disc'
Confirmed by:

Treatment and Followup:

Discussion:

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MedPix® Patient Chart - Case No: 2380 :: - Review Images

History

Exam

Findings

Diffferential

Diagnosis

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