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Neck pain in a teenager

Murphy, Jennifer
Hughes, Simon
Sumathi, Vaiyapuri
Botchu, Rajesh
Davies, A Mark
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2023-03-13
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Test Yourself: Answer. Question available under PMID 36892606. MRI at presentation shows focal decreased signal intensity on T1-weighted imaging (Fig. 1a) with corresponding increased signal intensity on the water sensitive sequences (Fig. 1b and c), consistent with oedema-like changes in the bone marrow within the spinous process of C7 (white arrows). CT (Fig. 2) was subsequently performed and demonstrates a focal expansile lucency at the tip of the C7 spinous process with focal cortical destruction (white arrow).
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Murphy J, Hughes S, Sumathi V, Botchu R, Davies AM. Neck pain in a teenager. Skeletal Radiol. 2023 Aug;52(8):1625-1627. doi: 10.1007/s00256-023-04316-5. Epub 2023 Mar 13
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