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MedPix™ Display: Image (4334)-Pt (3301)-Topic (1878)
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.
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.
1. Osteoblastoma
2. Aneurysmal bone cyst
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