13 dr ahmed esawy imaging oral board of spine imaging part iii
TRANSCRIPT
The Art of Radiology
Epidural fibrosis and enhancement of degenerative disk
Bandlike signal decrease in marrow signal adjacent to degenerative disk
Mixed pattern of aftered signal adjacent to degenerated disk.
Lumbar Facet Joint Arthrography
NORMAL LFJ ANATOMY
PATHOLOGIC FINDINGSAbnormal Articular Volume
Synovial Cysts and Diverticula
MR Imaging of Myelopathy
Myelopathy means
Myelopathy
Compressive Myelopathy of extradural origin
Non-Compressive Myelopathy (intramedullary)
Lipomyelomeningocele
Postoperative herniated disk at L5-S1 level with extensive scarring
Most herniated disks detected postoperatively at the site of surgery do not enhance
Most herniated disks detected postoperatively at the site of surgery do not enhance
Scar tissue within the laminectomy defect and posterior paraspinal soft tissue may or may not enhance, but scar in the epidural space enhances homogeneously
Postoperative disk herniation L4-5 left. Herniated disk (arrow) is slightly hypointense centrally with peripheral darker rim on axial T2 fast spin echo image
Postoperative arachnoiditis
Role of Diffusion WIs and T2* GRE pulse sequences in
dubious Vertebral Marrow pathological Lesions
Common Types of Vertebral Marrow Lesions
Vertebral Abnormalities
Deformity
Opposed phase