File:Brown tumors compressing the spinal cord (Radiopaedia 68442-77988 E 30).jpg

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Brown_tumors_compressing_the_spinal_cord_(Radiopaedia_68442-77988_E_30).jpg ‎(640 × 450 pixels, file size: 29 KB, MIME type: image/jpeg)

Summary:

Description
  • Radiopaedia case ID: 68442
  • Image ID: 49045651
  • Image stack position: 30/147
  • Plane projection: Axial
  • Aux modality: C+ portal venous phase
  • Study description: CT chest-abdomen
  • Study findings: The chest was scanned without contrast material injection due to a technical fault. Numerous soft tissue density lytic lesions in most of the imaged bones, some expansile (e.g. posterior arch of the right 9th rib, left ischium). Lesion in T9 posterior arch protruding forward into the spinal canal and severely compressing the thecal sac. Enlarged cardiac chambers.Bovine arch - common anatomical variant.Posterior pleural thickening on right. Severely atrophied kidneys with extrarenal pelvises, dilated right ureter.Ovoid structure with small internal linear/stippled calcifications, immediately lateral to the left psoas major muscle, approximately the same diameter as the muscle - non-functioning transplanted kidney. Bone window: diffuse osteosclerosis. In light of the patient's ESRD and hyperparathyroidism, the skeletal findings strongly favor renal osteodystrophy (ROD) with brown tumors.
  • Modality: CT
  • System: Urogenital
  • Findings: Normal bowel gas distribution.Cluster of fine small curvilinear calcifications projected onto left lower abdomen/left iliac wing.Lytic lesions in the right 11th rib, right acetabulum, superior pubic rami, and left ischium.Lumbar scoliosis, convex to the left.
Date Published: 3rd Jun 2019
Source https://radiopaedia.org/cases/brown-tumors-compressing-the-spinal-cord
Author Yair Glick
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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