![]() (A, T1WI sagittal plain scan B, T2WI axial plain scan C&D: T2WI sagittal lipid sequence E: T1 sequence coronal enhancement F: T1 axial enhancement) T8 vertebral body and the left vertebral arch showed abnormal signal with hypointense in T1, hyperintense in T2 and fat-suppression sequence. ![]() 2e).įigure 1: Plain CT scan of thoracic spine (A: sagittal reconstruction in soft tissue window B: axial soft tissue window C: axial bone window D: sagittal reconstruction) showed osteolytic bone destruction with some soft tissue mass formed in the T8 vertibrea and the left arch.įigure 2: MR Plain and enhancement scan of thoracic spine. MRI enhancement of thoracic vertebrae showed that the abnormal signals in T8 vertebrae were enhanced significantly, soft tissue around the vertebrae was also enhanced uniformly.There was no abnormal enhancements in other vertebrae (Fig. No abnormal signal shadow was found in the spinal cord (Fig. No abnormality was found in the shape and signal of all intervertebral discs, and no obvious stenosis was found in the same layer of vertebral canal and intervertebral foramen. The other vertebrae showed no obvious abnormality in morphology and signal. ![]() On the plain MRI scan of thoracic vertebrae, the lesions of T8 vertebrae and left arch showed the lesion with hypointense on T1WI, hyperintense on T2WI and T2 lipid suppression sequence, surrounded by soft tissue, no disc involvement. No obvious abnormality was found in the intervertebral space (Fig. The boundary of the lesion was clear as a whole, local bone cortex disappeared, and the abnormal soft tissue tumor was formed. Lamellar osteolytic bone destruction was seen in vertebrae and left vertebral arch. T8 vertebrae was normal in shape and height. The past history, personal history and family history are not special.ĬT of thoracic vertebrae showed that the thoracic vertebrae was normal in physiological curvature. Laboratory examination of C-reactive protein (-), hemogram (-). The muscle strength of both limbs is not weakened, and the pain and warmth are not decreased. Physical examination manifested as left side tenderness (+ +). No other discomfort symptoms were presented. The patient was a 20-year-old male who complained of back pain for 2 months and progressive exacerbation for 1 month. Keywords: Spine, Langerhans Cell Histocytosis, Computer Tomography, X-Ray Computed, Magnetic Resonance Imaging The postoperative histological examination was consistent with the Langerhans cell hyperplasia HSC disease of bone. MRI enhanced scanning showed that T8 and its appendages were enhanced uniformly, and a few soft tissue around it was also enhanced in the same way. The signal of intervertebral disc was normal. The findings showed that it is hypointense in T1 sequence, hyperintense in T2 and the fat-pressed sequence. MR showed abnormal signal in the T8 spreading to the left vertebral arch. Soft tissue window showed a small amount of soft tissue mass on the left side of the vertebra. Plain CT imaging and reconstructions showed that T8 vertebral body was normal in shape, and map-like osteolytic bone destruction was seen on the left side and the vertebral arch with clear boundary. Objective: The CT and MRI manifestations and clinical conditions of a thoracic HSC syndrome were analyzed. Hand Schuller Christian Disease in Thoracic Spine: A Case Report and Literature ReviewĪuthor: Changqin Jiang, Hai Liu, Cong Dai, Wanwei Zhang, Wei Fang, Qiang Feng FRONTIERS IN MEDICAL CASE REPORTS - Volume 2 Issue 2, (Mar-Apr, 2021) ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |