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Diffuse idiopathic skeletal hyperostosis (DISH)

Case contributed by Dalia Ibrahim
Diagnosis almost certain

Presentation

Neck and left arm pain

Patient Data

Age: 60 year old
Gender: Male
  • Florid, flowing ossification is noted along the anterior aspects of the cervical vertebrae, so-called flowing ossifications
  • Disc spaces are well preserved
  • Increased intra-discal signal at C6/7 disc at T1 WI could represent intra-discal calcification.

Case Discussion

Radiographic features include:

  • Florid, flowing ossification is noted along the anterior aspects of the cervical vertebrae, so-called flowing ossifications .
  • Disc spaces are usually well preserved.

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