Primary Diagnosis

Pathologic fractures and ventral epidural hematoma secondary to previously undiagnosed acute leukemia.

Secondary Diagnosis

marrow space disease

Diagnosis Discussion

Note the loss of stature of the upper thoracic vertebral bodies with the associated marrowspace signal abnormality throughout the thoracic spine on sagittal T1WI. There is a prominent anterior epidural soft tissue mass which spans multiple levels related to an associated epidural hematoma. The spinal cord is damaged showing a long segmental area of edema.

General Anatomic Area:

Thoracic

Secondary Anatomic Area:

marrow space disease

Disease Category:

Hematologic

Contributor:

Erin Simon, M.D.

Date:

03/01/2005

Difficulty Level:

Medium

Pathology Confirmed?:

Yes
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ACR Category Number:

N/A

Keywords:

epidural hematoma,myeloproliferative condition, leukemia, marrow space disorder, trauma