|Title : Case 614|
Age / Sex : 29 / M
What is your impression?
Chief complaint :
Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).
Courtesy : You Seon Song, Pusan National University Hospital
Spinal dural lymphoma (Diffuse large B cell type)
On axial and sagittal CT scans, soft tissue density mass like lesion was seen in left posterior portion of central canal at C2-3 level. There was no internal calcification in the mass like lesion.
On axial and sagittal T2WI, mass like dural thickening causing spinal cord compression was seen. This lesion show iso- or slightly high SI on T1WI and homogeneous enhancement on contrast enhanced image. On DWI, the lesion show diffusion restriction.
On brain MRI, diffuse pachymeningeal thickening and enhancement was seen.
Hypertrophic pachymeningitis related to infection
IgG4-related hypertrophic pachymeningitis
|Total applicants||28||Correct answers||7|