Case of November 2008

Clinical History:

A 33 years-old-man presented with 6-months history of low back pain and right lower limb weakness. There was no fever, constitutional symptoms or previous traumatic insult. Physical examination was unremarkable. No lower limb neurology or sphincter disturbance. He had past history of pineal germinoma at the age of 17, and was treated with debulking surgery and RT(cranial and spinal). Currently the disease was in remission.

Plain radiographs and MRI of the lumbar spine were performed.

XR-LS-spine (frontal)

MRI 
T1W Sagittal

T2W Fat suppression Sagittal

T2W FS Coronal

T1W Axial

T2W FS Axial