Neuroradiology spine lesions - Case 4 - aggressive choice - Choose your own adventure

Go on to the next case here:
Case 5 - https://youtu.be/qSWfLITdcRU

Today Michael Hoch brings us a structured approach to spine lesions.

This is the fourth of five unknown cases. This lesion does have aggressive features, such as soft tissue extension, cortical destruction, and irregular margins. In fact, the lesion is extremely aggressive looking

In this aggressive lesion, other features you should think about are:

the primary location of the lesion – posterior elements
whether there is matrix formation – yes (osteoid)

In an aggressive spine lesion with osteoid matrix, there is a very limited differential, of which the main consideration is osteosarcoma.

The diagnosis is: spinal osteosarcoma

Other videos in the lecture are found here:
Overview - https://youtu.be/tVgWqXGJ3hc
Case 1 - https://youtu.be/Z2-OtrT95EU
Case 2 - https://youtu.be/epurLpUXpKY
Case 3 - https://youtu.be/LFig5GMRWWI
Case 4 - https://youtu.be/x5due60wnAw
Case 5 - https://youtu.be/qSWfLITdcRU
Summary - https://youtu.be/BusKTYWiwiw

The entire lecture can be found here:
https://learnneuroradiology.com/topic-guides/spine-osseous-lesions/

Check out this video and additional content on http://www.learnneuroradiology.com

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