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Epidural Lipomatosis

Palacios III, MD RGPIM - MedPix

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Epidural Lipomatosis

History: 76 y.o. man presents with back pain and hyperreflexia in the lower extremities. MRI of brain showed no focal abnormalities.

Findings: MRI of the spine demonstrates proliferation of the dorsal epidural fat associated with complete effacement of the dorsal sub arachnoid space from the T3 - T9 levels which results in moderate central canal stenosis mild ventral cord flattening at the T6-7 level. There is also multilevel disk disease.

Ddx: • epidural lipomatosis • epidural spread of liposarcoma • extradural lipoma

Dxhow: MRI imaging

Exam: +3 hyperreflexia of the lower extremities

No MeSH data available.


Side by side T1 and T2 weighted images of the sagittal spine shows proliferation of the epidural fat and moderate cord flattening at the T6-7 level.
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MPX2141_synpic24031: Side by side T1 and T2 weighted images of the sagittal spine shows proliferation of the epidural fat and moderate cord flattening at the T6-7 level.


Epidural Lipomatosis

Palacios III, MD RGPIM - MedPix

Side by side T1 and T2 weighted images of the sagittal spine shows proliferation of the epidural fat and moderate cord flattening at the T6-7 level.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2141&req=5

MPX2141_synpic24031: Side by side T1 and T2 weighted images of the sagittal spine shows proliferation of the epidural fat and moderate cord flattening at the T6-7 level.

View Article: MedPix Image - MedPix Case

Affiliation: Brooke Army Medical Center

ABSTRACT

Diagnosis: Epidural Lipomatosis

History: 76 y.o. man presents with back pain and hyperreflexia in the lower extremities. MRI of brain showed no focal abnormalities.

Findings: MRI of the spine demonstrates proliferation of the dorsal epidural fat associated with complete effacement of the dorsal sub arachnoid space from the T3 - T9 levels which results in moderate central canal stenosis mild ventral cord flattening at the T6-7 level. There is also multilevel disk disease.

Ddx: • epidural lipomatosis • epidural spread of liposarcoma • extradural lipoma

Dxhow: MRI imaging

Exam: +3 hyperreflexia of the lower extremities

No MeSH data available.