A 12 Y/O girl with low back pain

 

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Doctor's Information

Name : Morteza
Family :Sanei Taheri
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Payam Asadi

 

Patient's Information

Gender : Female
Age : 12

 

Case Section

Muskuloskeletal System

 

Clinical Summary

A 12 Y/O girl with low back pain

 

 

Imaging Procedures and Findings

Lytic expansile lesion with bulby appearance and thining of cortex involving the right S1 ala is seen on CT scan . No evidence of periosteal reaction is detected. An axial T2WI shows an expansile lesion that has several fluidâ??fluid levels (arrow). This is a typical appearance .

 

Discussion

Aneurysmal bone cysts (ABCs) are virtually always aneurysmal or expansile . Aneurysmal bone cysts occur primarily in patients who are younger than age 30, although occasionally one will be encountered in older patients. Bony expansion and age of less than 30 years as fairly rigid guidelines and seldom miss the diagnosis of ABC. They often have fluidâ??fluid levels on CT or MR , although this is a nonspecific finding, as many other lesions can have fluidâ??fluid levels. ABCs typically present because of pain. They can occur anywhere in the skeleton, and there is no location that would make them more highly ranked in the differential diagnosis. As with osteoblastoma, they often occur in the posterior elements of the spine. There are apparently two types of ABCs: a primary type and a secondary type. The secondary type occurs in conjunction with another lesion or from trauma, whereas a primary ABC has no known cause or association with other lesions. Secondary ABCs have been said to occur with giant cell tumors, osteosarcomas, and almost any other lesion.

 

Final Diagnosis

Aneurysmal Bone Cyst

 

References

Brant WE, Helms CA. Fundamentals of Diagnostic Radiology, 3rd edition. P1077-1078

 

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