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Image Interp II > Lumbosacral Spine > Flashcards

Lumbosacral Spine Flashcards

(65 cards)

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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
- 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
Chance fracture
26
What pathology is demonstrated here?
Chance fx
27
What condition is demonstrated here?
Suppurative infectious spondylitis
28
What condition is demonstrated here?
Non-suppurative infectious spondylitis
29
What condition is demonstrated here?
Sacroilitis due to suppurative infection
30
Radiographic feature of ____ include: - Lucent vertebra with accentuated vertical trabeculae (“Corduroy cloth”) - DDX = Paget’s (look for enlargement), Osteoporosis (look for multiple contiguous levels)
Hemangioma
31
What condition is demonstrated here?
Hemangioma
32
What condition is demonstrated here?
Hemangioma w/ central compression
33
What conditions are demonstrated here? | (2 different)
34
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
Chordoma
35
What condition is demonstrated here?
Sacral Chordoma
36
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
Paget Disease
37
What condition is demonstrated here?
Polyostotic Paget Disease
38
What condition is demonstrated here?
Paget Disease
39
What condition is demonstrated here?
Osteoid Osteoma
40
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
Sickle cell anemia
41
What condition is demonstrated here?
Sickle cell anemia
42
What condition is demonstrated here?
Sickle cell anemia
43
What condition is demonstrated here?
Fluorosis
44
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
Achondroplasia
45
What condition is demonstrated here?
Achondroplasia
46
What condition is demonstrated here?
Achondroplasia
47
What condition is demonstrated here?
Hodgkins lymphoma
48
What condition is demonstrated here?
Degenerative Disc
49
Findings & Impressions =
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51
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52
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54
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58
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59
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60
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61
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62
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63
Provide the proper diagnostic terminology for this scenario
Disc bulge
64
Provide the proper diagnostic terminology for this scenario
Disc Extrusion
65
Provide the proper diagnostic terminology for this scenario
Disc Protrusion

Image Interp II (10 decks)

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