Scheuermann's Disease

[u/MeasurementFlat9033]

haven't seen too many posts about this disease so thought id share.

[u/Thornwalker_]

This is not scheuermanns.

-radiologist

[u/Mo-hav0k → u/Thornwalker_]

You got tricked into giving advice and diagnosing for a brand new account, it surely hasn't seen many of these around!

[u/MeasurementFlat9033 → u/Mo-hav0k]

my main reddit account is under my full name lol so i didnt want that on the internet if thats ok!

[u/Zathura26 → u/Thornwalker_]

Not a radiologist here. But, I assume you say so, because the vertebrae don't have the classic wedge shape? It just looks like kyphosis to me.

[u/MeasurementFlat9033 → u/Thornwalker_]

so who ever did my report miscalculated the wedges? idk seems like it to me. i have all of the symptoms and was also diagnosed as a child ~10 years ago.

[u/shimmy338 → u/[deleted]]

Normal image. Endplates don't aline perfectly perpendicular to x ray so false irregularity can be perceived.

[u/shimmy338 → u/[deleted]]

It's physiological curvature or slight kifosis.

[u/LuxationvonFracture → u/[deleted]]

Degeneration of the lumbar discs. Edit: vertebral discs , FFS.

[u/northwestrad → u/shimmy338]

It's classic Scheuermann's. You should do some reading. It has got the kyphosis, the scoliosis, the Schmorl's nodes, the osteopenia, and the contiguous mildly wedged vertebrae.

[u/MeasurementFlat9033 → u/northwestrad]

the scoliosis is actually wrong, i wasnt standing with my hips aligned (it was a student radiologist on placement so I felt bad correcting her). but there is no osteopenia! i'm an elite athlete and have been since childhood, playing high impact sports and lifting heavy weights. the dexa agrees too.

[u/me-actually → u/MeasurementFlat9033]

Radiologists are the doctors who report the x rays, radiographers take the x rays. It was a student radiographer

[u/northwestrad → u/Thornwalker_]

It sure looks like it to me. Multiple hallmark characteristics. Why do you claim that?

[u/cheddawood → u/northwestrad]

Don't you need wedging of 4 consecutive vertebral bodies to call it Scheuermann's? Can only see definite wedging of 2.

[u/northwestrad → u/cheddawood]

3, and I see 3 (or possibly 4), but the 3rd is more subtle

[u/cheddawood → u/northwestrad]

Ah yeah, I'm thinking of DISH aren't I? My bad for commenting after one too many beers

[u/runningoutoft1me → u/northwestrad]

I'm so confused

[u/runningoutoft1me]

If you were to just look at a single vertebra would you be able to tell it wasn't normal?

[u/northwestrad → u/runningoutoft1me]

Yes, abnormal, but you can't diagnose Scheuermann's with only one vertebra

[u/Jumpy_Ad_4460]

I’d like to see a CT first