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Slice 6 of 14
Can you make the diagnosis?
Review the images, then reveal
MRIMusculoskeletalConfirmedFRCR 2B
Dorsal sequestrated disc fragment
Clinical Presentation
Right sided sciatica.
- 1A peripherally enhancing lesion dorsal to the theca is located at the L2/3 level
- 2Centrally it is of intermediate T1 and intermediate to high T2 signal similar to the nucleus of discs
- 3Enhancement is peripheral and somewhat ill-defined
- 4Diffusion is similar to disc nucleus
- 5Importantly the L2/3 disc has lost a little height and has an annular fissure on the right
- 6In contrast, the right facet joint adjacent to the lesion appears normal.Features are consistent with a dorsal sequestrated disc fragment.