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Differential Diagnosis

Osteochondritis
  • Paola D’Aprile
  • Alfredo Tarantino
Chapter

Abstract

  • A 42-year-old male

  • Back pain

  • Limitation of motion of the thoracolumbar spine in the sagittal plane

  • A 42-year-old male

  • Back pain

  • Limitation of motion of the thoracolumbar spine in the sagittal plane

Fig. 1

Sagittal T1-weighted image (a), sagittal T2-weighted image with fat saturation (b), sagittal T1-weighted image with fat saturation following administration of contrast medium (c), sagittal CT image-MPR (d). T1-hypointensity (a) and T2-hyperintensity (b) of the subchondral cancellous bone at T11/T12, indicating fibrovascular transformation of the bone marrow and edema. The signal change is more diffuse in the anterior corners of the vertebral bodies. The intervertebral disc is reduced in height. Marked contrast enhancement of the same areas and chondral surfaces (c), indicating osteochondritis in active-inflammatory phase. CT image showing osteosclerosis of the anterior edges of the same vertebral bodies, erosions of the articular surfaces and osteophytosis (d). Diagnosis: degenerative-mechanical osteochondritis, in active-inflammatory phase

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Paola D’Aprile
    • 1
  • Alfredo Tarantino
    • 1
  1. 1.Radiology - Neuroradiology SectionSan Paolo HospitalBariItaly

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