Acute schmorl's nodes demonstrate oedema at their margins. This is usually limited to around the circumference of the margins but occasionally can be very extensive.
Chronic Schmorl's nodes can have a variable appearance. Here the margin is corticated and the marrow signal at the margins of the schmorl's node is normal with no oedema or fatty change
The second appearance of chronic schmorl's nodes is for the marrow around the margin to have fatty infiltration, with fat signal more than in the adjacent marrow.
Learn more about this condition & how best to report it in more detail in our SPINE & SIJ Imaging Mini Fellowships.
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