Neurographics

Hiding in Plain Sight: Paravertebral Masses and Mimics

M.A. McDonald and J. Bykowski

View Article on Neurographics Website

Date of Activity Release: Feb. 1, 2018
Date of Activity Expiration: Feb. 1, 2021

Target Audience:
Intended for neuroradiologists and neuroradiology trainees with varying degrees of experience.

Learning Objective:
Because radiographs may be the presenting images of paraspinal processes, the radiologist must recognize subtle distortions of normal anatomy to best guide the next most appropriate imaging examination.

Abstract
In the era of cross-sectional imaging, the diagnosis of neoplastic, infectious, and reactive paravertebral processes has become more straightforward. Nevertheless, because symptoms are nonspecific, initial detection may be based on chest or abdominal radiographs on which subtle changes can provide the first clues to an underlying abnormality. Through illustrative cases, we review the normal radiographic appearance and companion cases of paravertebral pathology on both radiographs and cross-sectional imaging to highlight subtle changes in regional skeletal and soft-tissue anatomy, which can provide the first clues to masses, traumatic injuries, and infectious and inflammatory processes.

Commercial Support
No commercial support was received for this activity.

Credit Designation Statement

The American Society of Neuroradiology is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The American Society of Neuroradiology designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Method of Physician Participation:
Each participant will review the corresponding Neurographics article located at www.neurographics.org. Upon completion, each physician will complete and pass a post-test with a score of at least 80% to receive a CME certificate.

Disclosures:
All individuals in control of content have disclosed the following relevant financial relationships. All of these relationships were treated as a conflict of interest, and have been resolved (C7 SCS 6.1-6.2, 6.5)

Authors:
Authors have no relevant financial relationships.

Planners:

Name

Role

Relationship/Interest

Barton Branstetter 

Editor in Chief

None, N/A

Adam Flanders

Deputy Editor

Royalties, Lippincott Williams and Wilkins

Robert Quencer 

Consulting Editor

None, N/A

Mark Mullins

Associate Editor

Non-remunerative position, AUR6

Meng Law

Associate Editor

Stockholder, Clinical Imaging

Edward Escott

Associate Editor

Grant, Atherysys, Inc.; Royalties, Thieme Medical Publishers

Scott Faro

Associate Editor

None, N/A

Tina Young Poussaint

Associate Editor

None, N/A

Dheeraj Ghandi

Associate Editor

Grant, Arstasis, Axera Inc.; Consultant, Covidien, EV3

Contact Information:
If you have questions regarding this enduring material activity, please contact us at communications@asnr.org.

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