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Slice 6 of 71
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CTMusculoskeletalConfirmedFRCR 2B
Tuberculous spondylodiscitis - with CT biopsy
Clinical Presentation
Low back pain. No fever. No history of respiratory disease.
- 1The vertebral body and right-sided posterior elements of T10 are destroyed with a large low-attenuation paravertebral component measuring up to 2 cm in depth
- 2This extends into the central canal.Further, there is minimal destruction of the anterior aspect of T11
- 3The disease seems discocentric.15mm nodule in the upper outer quadrant of the right breast.Lungs clear
- 4Surface markers applied to skin to identify best route for biopsy of the destructive T10 mass with paravertebral soft tissue elements.2
- 5Biopsy needle sited prior to acquisition of sample.3
- 6Biopsy needle in mass where sample acquired (Trucut 'pusher type' needle)
- 7Histology from CT guided biopsy confirmed tuberculosis.