Board Review 2 – Case 10

Neuroradiology board review. This lecture is geared towards the ABR core exam for residents, but it would be useful for review for the ABR certifying exam or certificate of added qualification (CAQ) exam for neuroradiology.

More description and the answer (spoiler!) are seen below the video.

This case shows a relatively homogeneous mass of the cervical spine replacing several vertebral bodies. There is involvement of the adjacent soft tissues, epidural space, and posterior elements.

The differential diagnosis for this mass is lymphoma, myeloma, and metastatic disease. Given young age of the patient, myeloma and metastatic disease are less likely, although possible.

The diagnosis is: lymphoma.