Case of the Month August, 2010

Submitted by Kamron Izadi, MD and Marcel Maya, MD.

History

A twelve year old girl presents with back pain and a Lytic lesion was found on scoliosis films.

Images

A CT was performed 

What are the findings in lumbar spine?

• Tumor centered at L2 with osteoid matrix
• Tumor centered at L2 with chondroid matrix
• Mass lesion with cortical breakthrough
• Joint erosion
• Multicystic, eccentric expansion of bone with thin periosteal reaction