Age / Sex : 25 / F

Chief complaint : right lower back pain

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 : 윤재성 (Jae Sung Yun), 아주대학교병원 (Ajou University School of Medicine)

Giant cell tumor

Discussion

Findings
1. Expansile osteolytic vertebral body lesion, and right pedicle involvement
2. Low to intermediate component in T1WI and T2WI
3. Long bony septa (CT) and curvilinear area of signal void (MR)

References
1. Kwon JW, Chung HW, Cho EY, Hong SH, et al. MRI findings of giant cell tumors of the spine. AJR 2007; 189:246-250
2. Shi LS, Li YQ, Wu WJ, Zhang ZK, et al. Imaging appearance of giant cell tumour of the spine above the sacrum. Br J Radiol, 2015; 88(1051): 20140566