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Case of the Week 406




What is the most likely diagnosis?

  • 52 year-old female with low back pain after an auto accident



Close-up of lateral radiograph of lumbar spine

  1. Discitis
  2. Eosinophilic granuloma
  3. Teardrop fractures
  4. Degenerative osteophytes
  5. Limbus vertebra

Additional Image - Sagittal CT scan through lumbar spine

 

 

Additional Images

 

Sagittal CT scan through lumbar spine


Answer:

.


5. Limbus Vertebra

.

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More (Click Discussion Tab)


Limbus Vertebra

General Considerations

  • Common finding
  • Most commonly affects the anterosuperior corner of vertebral body in a single vertebral body
    • May also affect the inferior margin less commonly and posterior margins least commonly
  • Seen mostly in mid-lumbar spine
  • Probably due to trauma

MORE...


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is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing  lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology.