Published in:
13-03-2023 | Neck Pain | Test Yourself: Answer
Neck pain in a teenager
Published in: Skeletal Radiology | Issue 8/2023
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MRI at presentation shows focal decreased signal intensity on T1-weighted imaging (Fig. 1a) with corresponding increased signal intensity on the water sensitive sequences (Fig. 1b and c), consistent with oedema-like changes in the bone marrow within the spinous process of C7 (white arrows). CT (Fig. 2) was subsequently performed and demonstrates a focal expansile lucency at the tip of the C7 spinous process with focal cortical destruction (white arrow).
Fig. 1
Sagittal T1-weighted (a) and sagittal STIR (b) images of the cervical spine and axial T2-weighted MRI at C7 (c) demonstrating focal decreased T1 signal intensity with corresponding increased signal on water sensitive sequences within the spinous process of C7 (white arrows)
Fig. 2
Axial non contrast CT at C7 demonstrating a focal expansile lucency at the tip of the spinous process (white arrow)
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