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Neuroblastoma with intraspinal extension

Llanso TTL - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Neuroblastoma with intraspinal extension

History: One-year-old boy was walking, but now only crawls.

Findings: Image 1: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing. Image 2: Fat-saturated Sagital T2 MRI of the spine shows a soft-tissue appearing mass that has invaded and insinuated itself within the epidural space - compressing the spinal cord.

Ddx: If intraspinal extension were the only manifestation and the lesion were sharply marginated, spherical, or fusiform, then more benign nerve root tumors such as neurofibroma or schwannoma would be considered. Ganglioneuroma and ganglioneuroblastoma are also possible. However, given the large adrenal mass and the bone metastases, neuroblastoma becomes the primary consideration.

Exam: N/A

No MeSH data available.


Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney.  There is also increase T2 signal in several vertebral bodies.  Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing.
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MPX1020_synpic17477: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing.


Neuroblastoma with intraspinal extension

Llanso TTL - MedPix

Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney.  There is also increase T2 signal in several vertebral bodies.  Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1020&req=5

MPX1020_synpic17477: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing.

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Neuroblastoma with intraspinal extension

History: One-year-old boy was walking, but now only crawls.

Findings: Image 1: Fat-saturated Coronal T2 MRI of the abdomen / spine demonstrates a large mass over the right kidney. There is also increase T2 signal in several vertebral bodies. Increased T2 signal is present in both iliac wings, and some expansile remodeling is seen in the left iliac wing. Image 2: Fat-saturated Sagital T2 MRI of the spine shows a soft-tissue appearing mass that has invaded and insinuated itself within the epidural space - compressing the spinal cord.

Ddx: If intraspinal extension were the only manifestation and the lesion were sharply marginated, spherical, or fusiform, then more benign nerve root tumors such as neurofibroma or schwannoma would be considered. Ganglioneuroma and ganglioneuroblastoma are also possible. However, given the large adrenal mass and the bone metastases, neuroblastoma becomes the primary consideration.

Exam: N/A

No MeSH data available.