The Art of Radiology

SPINERADIOLOGICAL ANATOMY

Cevical spine

Cervical spine AP view

Cervical spine Lateral

Cervical spine oblique

Atlanto-axial open mouth

Dynamic views

Cervical lines

Sagittal T1

Lumbar spine

P

Whole spine scoliosis

CT lumbar

Axial CT myelography

Axial CT Myelography

Atlas &Axis

brucellosis spine , note the sclerotic behavior

brucellosis spondylodiscitis , low level , associated with marginal

sclerosis

diastematomyelia osseous cleft

dysraphism , lamina defect LV4

EG spine

ependymoma

EG spine

extra extra ...hematoma

extra intra drop metastasis

intra medullary astrocytoma

intra medullary hemangioblastoma

intramedullary metastasis

lipomyelomeningocele ..occult

mylomeningocele

MyxopapillaryEpendymoma

prevertebral discitis , epidural abscess

TB arachnoiditis

tethered cord , diblomyelia

tethered cord , large meningocele

tethered cord , lipoma

brucellosis spine , note the sclerotic behavior

ankylosing spondylitis

brucellosis spondylodiscitis , low level , associated with marginal

sclerosis

diastematomyelia osseous cleft

dysraphism , lamina defect LV4

lemon and banana signs

MORQUI VERTEBRAL BEAKING

os odontoidem , morquo syndrome

extra intra ...schwannoma

NF

NF

DURAL ECTASIA NF1

NF1 , ribbon ribs , notching , apical masses , myodil myelogram

NF1 dural ectasia

NF1 neurofibroma

NF2 cord meningioma and ependymoma

NF brachial plexus

akylosing spondylitis , ulcerative colitis

ankylosing spondylitis , lung fibrosis apical

ankylosing spondylitis , narrowed joints , protrusio acetabule

ankylosing spondylitis aortitis

ankylosing spondylitis amyloidosis, skin , kidney , bowels , sking , tounge

ankylosing spondylitis iritis

ankylosing spondylitis , ivory angle sign

Spondylolysis

Spinal dysraphism

Plain x-ray film showing scoliosis of the cervical spine with vertebral anomalies

Plain abdominal radiograph shows spina bifida occulta of S1.

Plain radiographs show posterior scalloping.

Plain anteroposterior (AP) lumbar spinal radiograph in a 7-year-old patient shows a defect within the laminae of L4-5 and S1 .

Myelograms in a 5-year-old patient show the dorsal region of the spine and an anterior thoracic meningocele. Note the gross dorsal kyphosis.

Myelograms in a 4-year-old patient show the lumbosacral region; a long, tethered cord; and diastematomyelia.

Axial CT scans through the lumbar spine with bone window showing a bony bar due to diastematomyelia.

Axial CT scans through the upper lumbar spine show a split cord.

Coronal reformatted and 3D CT images showing hemi and butterfly vertebral anomalies.

Axial CT scans through the lumbosacral junction shows absence of the posterior spinal elements at L5-S1. Note sclerosis of the laminae and the wide spinal canal.

Tethered Cord

Tethered cord and dermal sinus

Neuro-enteric Cyst

Sagittal MRIs of the lumber spine show diastematomyelia. Note the congenital fusion of L1 and L2.

Axial MRIs in the same patient as in Image above shows a hypointense bar, which is in an anteroposterior location because of diastematomyelia that splits the cord.

Neoplastic disease of spine and spinal cord

Vertebral hemangioma

Vertebral hemangioma

•Primary extradural tumors Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Vertebral hemangioma

Osteochondroma

Osteochondroma

Osteochondroma

Osteochondroma

Osteochondroma

Osteoid osteoma

Osteoid osteoma

Osteoid osteoma

Osteoid osteoma

Osteoid osteoma

Osteoblastoma

Osteoblastoma

Osteoblastoma

Osteoblastoma

Osteoblastoma

Aneurismal bone cyst

Aneurismal bone cyst

Aneurismal bone cyst

Aneurismal bone cyst

Aneurismal bone cyst

Aneurismal bone cyst

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Giant cell tumor

Sacrococcygeal teratoma

Sacrococcygeal teratoma

Eosinophilic granuloma

Eosinophilic granuloma

Chordoma

Chordoma

Chordoma

Chordoma

Chordoma

Neuroblastoma,ganglioneuroma and ganglionneuroblastoma

neuroblastoma

neuroblastoma

neuroblastoma

ganglioneuroblastoma

ganglioneuroblastoma

ganglioneuroblastoma

Osteosarcoma

Osteosarcoma

Chondrosarcoma

Chondrosarcoma

Chondrosarcoma

Ewing`s sarcoma

Ewing`s sarcoma

Ewing`s sarcoma

Leukemia

Leukemia

Leukemia

Leukemia

Leukemia

Leukemia

Leukemia

Non-hodgkin`s lymphoma

Secondary extradural tumorsMetastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

Metastatic disease to spine and extradural space

•Metastatic disease to spine and extradural space

Nerve sheath tumor

Nerve sheath tumor

Nerve sheath tumor

Nerve sheath tumor

Nerve sheath tumor

Nerve sheath tumor

Meningioma

Meningioma

Meningioma

Meningioma

Meningioma

Meningioma

Meningioma

Secondary intradural extramedullary tumors

Spinal leptomeningeal tumor

Spinal leptomeningeal tumor

Spinal leptomeningeal tumor

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Astrocytoma

Ependymoma

Ependymoma

Ependymoma

Ependymoma

Ependymoma

Ependymoma

Ependymoma

Ependymoma

Hemangioblastoma

Hemangioblastoma

Hemangioblastoma

Hemangioblastoma

Hemangioblastoma

Hemangioblastoma

Secondary Intramedullary tumors

Metastatic disease to the cord

Metastatic disease to the cord