Differential Diagnosis In Neuroimaging. Spine [Plus]

Differentiating spinal infection from tumor is a classic radiology challenge. Typically crosses the intervertebral disc. Destroys adjacent vertebral endplates. Shows high T2 signal in the disc. Neoplasm (Metastases): Rarely involves the disc (spares the disc space). Often involves the posterior elements (pedicles). May present with a soft tissue mass. Intramedullary Tumors: Ependymoma vs. Astrocytoma

If the pedicle is destroyed but the disc is fine, think metastasis. Differential diagnosis in neuroimaging. Spine

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This is located directly within the substance of the spinal cord. Differential diagnosis in neuroimaging. Spine