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Go on to the next case here: Case 5 - • Neuroradiology spine lesions - Case 5 - ov... Today Michael Hoch brings us a structured approach to spine lesions. This is the fourth of five unknown cases. This lesion does have aggressive features, such as soft tissue extension, cortical destruction, and irregular margins. In fact, the lesion is extremely aggressive looking In this aggressive lesion, other features you should think about are: the primary location of the lesion – posterior elements whether there is matrix formation – yes (osteoid) In an aggressive spine lesion with osteoid matrix, there is a very limited differential, of which the main consideration is osteosarcoma. The diagnosis is: spinal osteosarcoma Other videos in the lecture are found here: Overview - • Neuroradiology spine lesions - Choose your... Case 1 - • Neuroradiology spine lesions - Case 1 - ov... Case 2 - • Neuroradiology spine lesions - Case 2 - ov... Case 3 - • Neuroradiology spine lesions - Case 3 - ov... Case 4 - • Neuroradiology spine lesions - Case 4 - ov... Case 5 - • Neuroradiology spine lesions - Case 5 - ov... Summary - • Neuroradiology spine lesions - summary - C... The entire lecture can be found here: https://learnneuroradiology.com/topic... Check out this video and additional content on http://www.learnneuroradiology.com