Pic Of The Day – Acute Enthesopathy in DISH
This 57 years old man had a cervical spine MRI last week with whole spine screening, which showed marrow edema involving the D7 vertebral body anteriorly to the right.
The dedicated MRI shows an osteophyte arising from D7 on the right with marrow and periosseous edema.
It is the CT though that shows the exact status. There is flowing ALL ossification in the lower cervical and upper dorsal spine. At D7 and D8 there are bridging enthesophytes and the D7 enthesophyte shows marrow edema suggesting acute enthesopathy superimposed on a background of DISH (diffuse idiopathic skeletal hyperostosis)
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