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Image Interp II > Lumbosacral Spine > Flashcards

Lumbosacral Spine Flashcards

1
Q

What condition is demonstrated here?

A

Degenerative disc w/ instability

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2
Q

What condition is demonstrated here?

A

Spondylosis

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3
Q

What condition is demonstrated here?

A

Multilevel Intervertebral Osteochondrosis

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4
Q

What condition is demonstrated here?

A

Degenerative Disc

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5
Q

What condition is demonstrated here?

A

Facet Arthrosis

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6
Q

What condition is demonstrated here?

A

Facet Arthrosis

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7
Q

What condition is demonstrated here?

A

Baastrup disease

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8
Q

What are the 6D’s associated with the hypertrophic pattern seen in Neuropathic arthropathy

A

Distension

Dislocation

Disorganization

Destruction

Debris

Desnity Increased

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9
Q

What condition is demonstrated here?

A

Neuropathic Arthropathy at L2/L3

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10
Q

General & radiographic features of ____ include:

  • Erosion of corner of vertebral body (romanus lesion)
  • Squaring of vertebrae anteriorly
  • Corner heals “Shiny corner sign”
  • Bilateral and symmetric
  • Osteoporosis
A

Ankylosing spondylitis

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11
Q

What are the 3 stages of sacroiliac joint disease?

  • Hallmark is bilateral symmetric involvement
A
  1. Pseudowidening (due to resorption of subchondral bone)
  2. Erosion & sclerosis
  3. Ankylosis (see of hint of SI joint after ankyloses; “ghost joint”)
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12
Q

What condition is demonstrated here?

A

Ankylosing spondylitis w/ Stage 2 SI joint involvement

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13
Q

What condition is demonstrated here?

A

Ankylosing spondylitis w/ Stage 3 SI joint involvement

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14
Q

What condition is demonstrated here?

A

Ankylosing Spondylitis

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15
Q

What condition is demonstrated here?

A
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16
Q

What are the different signs demonstrated here?

A
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17
Q

Radiographic features of ___ include:

  • Triangular sclerosis of the ilium adjacent to joint
  • May be unilateral or bilateral
  • Usually no abnormality of the joint itself (no erosions or joint widening)
A

Osteitis condensans ilii

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18
Q

What condition is demonstrated here?

A

Unilateral Osteitis condensans ilii

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19
Q

What condition is demonstrated here?

A

Psoriatic Arthritis

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20
Q

What condition is demonstrated here?

A

Hyperparathyroidism

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21
Q

What condition is demonstrated here?

A

Unilateral spondylolysis at L4

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22
Q

What condition is demonstrated here?

A

Bilateral Spondylolysis at L4

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23
Q

What pathology is seen here?

A

Transverse process fracture

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24
Q

What pathology is demonstrated here?

A

3 levels of transverse process fx

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25
Q
  • Horizontal fracture through the spinous process, laminae, pedicles, transverse processes and posterior vertebral body, extending to aendplate
  • Results in the empty vertebrae sign on frontal views
  • Hyperflexion/distraction injury
A

Chance fracture

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26
Q

What pathology is demonstrated here?

A

Chance fx

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27
Q

What condition is demonstrated here?

A

Suppurative infectious spondylitis

28
Q

What condition is demonstrated here?

A

Non-suppurative infectious spondylitis

29
Q

What condition is demonstrated here?

A

Sacroilitis due to suppurative infection

30
Q

Radiographic feature of ____ include:

  • Lucent vertebra with accentuated vertical trabeculae (“Corduroy cloth”)
  • DDX = Paget’s (look for enlargement), Osteoporosis (look for multiple contiguous levels)
A

Hemangioma

31
Q

What condition is demonstrated here?

A

Hemangioma

32
Q

What condition is demonstrated here?

A

Hemangioma w/ central compression

33
Q

What conditions are demonstrated here?

(2 different)

34
Q

General & Radiographic features of ____ include:

  • Midline lesions
  • Osteolytic lesion with soft tissue mass
  • Calcification may be present
  • Malignant neoplasm that develops from a remnant of the notocord
35
Q

What condition is demonstrated here?

A

Sacral Chordoma

36
Q

Radiographic features of ____ include:

  • Bone enlargement, thick cortices, trabecular accentuation with stage 2 → Picture frame vertebrae
  • Diffuse increase in bone density with stage 3 → Ivory vertebrae
A

Paget Disease

37
Q

What condition is demonstrated here?

A

Polyostotic Paget Disease

38
Q

What condition is demonstrated here?

A

Paget Disease

39
Q

What condition is demonstrated here?

A

Osteoid Osteoma

40
Q

Radiographic features of ____ include:

  • Bony changes are predominately due to marrow hyperplasia and ischemia/necrosis
  • Granular skull (spares sinuses)
  • Hair-on-end skull (uncommon)
  • Fish vertebrae
  • “H”-vertebrae (Reynolds)
  • Osteoporosis /osteosclerosis
A

Sickle cell anemia

41
Q

What condition is demonstrated here?

A

Sickle cell anemia

42
Q

What condition is demonstrated here?

A

Sickle cell anemia

43
Q

What condition is demonstrated here?

44
Q

Radiographic features of ___ include:

  • Small foramen magnum
  • Hydrocephalus
  • “Bullet vertebra” at thoracolumbar junction (associated acute kyphosis)
  • Increase lumbar lordosis
  • Horizontal sacrum
  • Short, thick pedicles; decreasing interpedicular distance caudally
  • Posterior vertebral body scalloping
  • Champage glass pelvis
A

Achondroplasia

45
Q

What condition is demonstrated here?

A

Achondroplasia

46
Q

What condition is demonstrated here?

A

Achondroplasia

47
Q

What condition is demonstrated here?

A

Hodgkins lymphoma

48
Q

What condition is demonstrated here?

A

Degenerative Disc

49
Q

Findings & Impressions =

50
Q

Findings & Impressions =

51
Q

Findings & Impressions =

52
Q

Findings & Impressions =

53
Q

Findings & Impressions =

54
Q

Findings & Impressions =

55
Q

Findings & Impressions =

56
Q

Findings & Impressions =

57
Q

Findings & Impressions =

58
Q

Findings & Impressions =

59
Q

Findings & Impressions =

60
Q

Findings & Impressions =

61
Q

Findings & Impressions =

62
Q

Findings & Impressions =

63
Q

Provide the proper diagnostic terminology for this scenario

A

Disc bulge

64
Q

Provide the proper diagnostic terminology for this scenario

A

Disc Extrusion

65
Q

Provide the proper diagnostic terminology for this scenario

A

Disc Protrusion

Image Interp II (10 decks)

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