Dr. Pepe’s Diploma Casebook: Case 34 – SOLVED!


Dear Friends,

Presenting MRI of lumbar spine in a 57-year-old male with lower-back pain.


1. Ependymoma
2. Meningioma
3. Paraganglioma
4. None of the above

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    5 Responses to : Dr. Pepe’s Diploma Casebook: Case 34 – SOLVED!

    1. Osama Ibrahim says:

      Multiple sequence of sagittal MRI study of lumber spine shows:
      An elongated oval shape mass lesion is seen at intramedullary location of the conus medullaris extended from the level of L2 to the upper end plate of L5, it has low signal on T1WI, heterogeneous high signal on T2WI, and it has heterogeneous strong enhancement in post Gadolinium study.
      The principle diagnosis is CONUS EPENDYMOMA.
      Spinolamenictomy are seen at L4 and L5 level.

    2. Yp says:

      Myxopapillary ependymoma

    3. Rasul says:


    4. Ricardo Macareno says:


    5. genchi bari italia says:

      Lesione a sede intradurale ed intramidollare,localizzata a livello del cono midollare-cauda equina, estesa in lunghezza, con aspetto a”banana”.Isointensa al midollo in T1 e lievemente iperintensa in T2, con tendenza all’ampliamento del canale vertebtrale.Dopo mdc , intensa impregnazione, con foci ipointensi da probabili piccole emorragie.”Bulging” discale tra L4-L5 ed L5-S1.Diagnosi: ependinoma.1.