Next congenital spinal cyst in 1 case of ectopic tracheobronchial.doc

 PAGE \* MERGEFORMAT 5 Next congenital spinal cyst in 1 case of ectopic tracheobronchial [Keywords:] tracheal bronchogenic cyst; computed tomography, magnetic resonance imaging Case Information Patients, female, 5 months. From birth to find the back mass. Physical examination: the size of the back of a cystic mass of about 6mm × 5mm, and its reach within an irregular bony protrusions, no tenderness, swelling and skin ulceration, spinal No scoliosis, lower extremity motor and sensory, muscle strength is normal. X-ray findings: sudden forward slightly lower thoracic spine, chest 6-12 lamina, spinous process absent, around the spinal canal diameter increases. T8 vertebrae become flat and showed butterfly, chest slightly narrowed intervertebral space 8-11 , before the see of a large mass in soft tissue, bone mass density of the film see the irregular, clear edge (Figure 1. CT performance: the level of thoracic spinal canal expansion 6-12, and its uniform density within the organization, do not arch the back row, the corresponding part of the vertebral body, lamina and spinous abnormal morphology (Figure 2. With the level of the spinal canal do not see the back edge Rule-shaped mass, about the size of 31mm × 13mm × 30mm, CT value of 15HU. MRI performance: expansion of lower thoracic spinal canal, posterior arch is not continuous, abnormal vertebral shape. 8-11 thoracic spinal cord levels T1 longer see the small strip long T2 signal intensity. Thoracic vertebral level, see 10-12 spindle fat block. sacral fat pad see spindle, its lower end connected to the upper edge of the spinal cord. see the same level of posterior cavity of the two irregular shape and size were 21mm × 13mm × 17mm, 18mm × 9mm × 17mm, and Spinal relationship is not clear (Figure 3. Surgery and pathology: send a bunch of dural fibrous dysplasia of the spinal defect from the prominent proliferation of fibrous tissue about the size of 5cm × 4cm × 3cm, proliferation of fibrous tissu