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High-grade chondroid neoplasm

USU Teaching File MUTF - MedPix

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Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: High-grade chondroid neoplasm

History: 45 y/o white male initially presented with five week hx of left buttock burning pain and numbness extending into lower thigh. Initially treated with NSAIDS and physical therapy, symptoms continued to worsen. Presented to WRAMC with numbness and tingling extending into left testicle and penis. Patient denies bowel or bladder incontinence, weight loss, or other constitutional symptoms. Denies any numbness, pain, or abnormal sensations on right side. PMHx: HTN, hyperlipidemia PSHx: remote tonsillectomy/ bilateral herniorrhaphy MEDS: Ramipril 5 mg PO qd, HCTZ 12.5 mg PO qd, Amitryptyline 25 mg PO qd, Zocor 10 mg PO qd

Findings: 1) Plain films- normal SI joints, ill defined lucent area over lower left sacrum, two sacral neural foramina on left widened with erosions of borders 2) CT- mass left side of sacrum, left side of S1 encroaching on left side neural foramen, normal vertebral bodies 3) MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space

Ddx: metastatic disease, primary bone tumor, lymphoma, multiple myeloma, giant cell tumor, and chondroma

Exam: normal sphincter tone, guaiac negative, diminished light touch and temperature sensation along left penis and scrotum, otherwise normal exam

No MeSH data available.


MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space
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MPX2158_synpic19198: MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space


High-grade chondroid neoplasm

USU Teaching File MUTF - MedPix

MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2158&req=5

MPX2158_synpic19198: MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: High-grade chondroid neoplasm

History: 45 y/o white male initially presented with five week hx of left buttock burning pain and numbness extending into lower thigh. Initially treated with NSAIDS and physical therapy, symptoms continued to worsen. Presented to WRAMC with numbness and tingling extending into left testicle and penis. Patient denies bowel or bladder incontinence, weight loss, or other constitutional symptoms. Denies any numbness, pain, or abnormal sensations on right side. PMHx: HTN, hyperlipidemia PSHx: remote tonsillectomy/ bilateral herniorrhaphy MEDS: Ramipril 5 mg PO qd, HCTZ 12.5 mg PO qd, Amitryptyline 25 mg PO qd, Zocor 10 mg PO qd

Findings: 1) Plain films- normal SI joints, ill defined lucent area over lower left sacrum, two sacral neural foramina on left widened with erosions of borders 2) CT- mass left side of sacrum, left side of S1 encroaching on left side neural foramen, normal vertebral bodies 3) MRI- infiltrating lesion with high T2 signal intensity within body of sacrum infiltrating into the epidural space

Ddx: metastatic disease, primary bone tumor, lymphoma, multiple myeloma, giant cell tumor, and chondroma

Exam: normal sphincter tone, guaiac negative, diminished light touch and temperature sensation along left penis and scrotum, otherwise normal exam

No MeSH data available.