Weekly Case

Title : Case 765

Age / Sex : 60 / M


Chief complaint : back pain for 2 weeks.

Medial history : colon cancer with liver metastasis.


What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).

Courtesy: 장민영, Min-Yung Chang 국민건강보험공단 일산병원(National health insurance service ilsan hospital)


Diagnosis:

Serous fat atrophy (gelatinous transformation of bone marrow)



Discussion


Findings


  1. Fluid signal intensity of bone marrow and fat (mildly low signal intensity on T1-weighted image and high signal intensity on fluid sensitive sequences)

  2. Depletion of (subcutaneous) fat


References


  1. Boutin RD, White LM, Laor T, Spitz DJ, Lopez-Ben RR, Stevens KJ, Bredella MA. MRI findings of serous atrophy of bone marrow and associated complications. Eur Radiol. 2015 Sep;25(9):2771-8. doi: 10.1007/s00330-015-3692-5



Correct Answer
Total applicants 31 Correct answers 13
Name Institution
이경은 전문의
한유비 전문의
이진영 전문의
이혜란 전문의
송윤아 전문의
김아연 서울아산병원, 전문의
최형인 전문의
박영태 서울아산병원, 전문의
김종혁 서울아산병원, 전문의
김경호 서울아산병원, 전문의
박진희 전문의
김형민 전문의
변승희 서울아산병원, 전문의


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