case_images: PMC7085383_01
case_images: Plain radiographs of cervical spine, lateral view (a), and dorsal spine, anteroposterior (b) and lateral (c) views. Findings suggestive of diffuse idiopathic skeletal hyperostosis (DISH or Forestier's Disease) were noted, especially on dorsal spine X-rays. Calcification of intervertebral discs was not seen.
case_images: CRIRH2020-5454197.001.jpg
case_images: PMC7085383_01_CRIRH2020-5454197.001.jpg
case_images: fig1
case_images: Standard radiographs of the spine showed signs of diffuse idiopathic skeletal hyperostosis (DISH) with pseudoankylosis of the dorsal spine (Figure 1).
case_images: MRI of the cervico-dorsal junction, T1-weighted post-gadolinium injection (a) and T2-weighted (b) sequences, showing enhancement in C7 and T1 vertebral bodies after injection, and hyperintense signal on T2 sequence (arrows). The intervertebral C7-T1 disc does not show any T2 hypersignal or enhancement following contrast injection.
case_images: CRIRH2020-5454197.002.jpg
case_images: PMC7085383_01_CRIRH2020-5454197.002.jpg
case_images: fig2
case_images: CT scan of the cervical and dorsal spine showing erosions on the anterior aspects of the lower vertebral endplate of C7 and the upper vertebral end-plate of T1 with a calcification located in between, at the anterior part of the C7-T1 intervertebral disc ((b) red arrow). (a) Calcifications were also present in the T2-T3 (orange arrow), T9-T10 (yellow arrow), and T10-T11 (blue arrow) intervertebral discs.
case_images: CRIRH2020-5454197.003.jpg
case_images: PMC7085383_01_CRIRH2020-5454197.003.jpg
case_images: fig3