CT Diagnosis of Lumbar Posterior Marginal Intraosseous Cartilaginous Nodes / 实用放射学杂志

Objective To discuss the CT diagnosis and differential diagnosis of lumbar posterior marginal intraosseous cartilaginous nodes(LPMN)and the possible pathogenesis.Methods CT manifestations of LPMN in 29 cases hospitalized in the last three years were analysed retrospectively.Results The mainly CT features of LPMN included:(1)Osseous defect with sclerotic margin in the posterior-superior or posterior-inferior margins of centrum;(2)Behind the defect area,bone fragments protrude into the spinal canal,totally dislocated or partially joined with centrum;(3)The dural sac and nerve root compressed accompanied by lumbar disc herniation and spinal canal stenosis.Conclusion LPMN can be definitively diagnosed by CT scan,which provides reliable basis for the treatment project.

Imaging Dignosis of Primary Synovial Osteochondromatosis / 实用放射学杂志

Objective To analyze the X-ray,CT and MRI appearances of primary synovial osteochondromatosis.Methods CT scanning was performed in 22 cases,of which 16 cases underwent X-ray examination and 2 cases underwent MRI scan.Results Of 22 cases of synovial osteochondromatosis,13 cases were male and 9 cases were female.The monoarticular involvment was found in 20 cases,and double-articular involvment in 2 cases.Variable size and number of the cartilaginous nodules with calcification and ossification within and surround the joints were showed in 20 cases.The soft mass with calcification were showed in 2 cases.Bone destruction were found in 2 cases,which were induced by compression of the cartilaginous nodules,this was confirmed by operations.Conclusion The cartilaginous nodules with calcification or ossification can be shown by X-ray and CT san.The cartilaginous nodules without calcification or ossification can be shown by MR san.