PMC3190431_01
Post contrast sagittal image of lumbo sacral spine showing a cystic lesion at D12-L1 level with enhancement of cyst wall
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F1
Magnetic resonance imaging (MRI) showed a cystic lesion at D12- L1 with contrast enhancement of the wall. [Figures 1 and 2] Pre operative differential diagnosis included cystic variant of astroctytoma, ependymoma, neurofibroma, abscess or parasitic cyst.
T2W sagittal image of spine showing a hyperintense cystic lesion at D12 - L1 level with hypointense cyst wall
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F2
Magnetic resonance imaging (MRI) showed a cystic lesion at D12- L1 with contrast enhancement of the wall. [Figures 1 and 2] Pre operative differential diagnosis included cystic variant of astroctytoma, ependymoma, neurofibroma, abscess or parasitic cyst.
Intra-operative image after performing laminectomy at D12- L1 level. The lesion appears predominantly cystic but the walls are densely adherent to the surrounding nerve rootlets
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F3
Histopathology image of cyst wall showing pseudostratified lining with goblet cells (a) and cilia (b)
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F4
Histopathology revealed tissue lined by ciliated columnar cells and goblet cells with focal mucin secretion resting on fibro-collagenous base suggestive of enterogenous cyst. [Figure 4] At post operative period of one year, he is totally asymptomatic.