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Slice 6 of 48
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CTMusculoskeletalConfirmedFRCR 2B
Tuberculous spondyodiscitis
Clinical Presentation
Right neck swelling intial cause for presentation. Incision and drainage identified TB. Subsequent imaging performed. Asymptomatic from chest and musculoskeletal perspective.
- 1Left upper lobe consolidation and airspace change
- 2No cavitation.Paratracheal and pre-aortic lymphadenopathy.Multilevel vertebral body destructive lesions with paravertebral soft tissues masses.Post surgical change at the left side of the neck
- 3Multilevel T2 hyperintense vertebral bodies of varying degrees, namely C3, C4, C6, T1, T2, T5, T6, T8, T10, T11, T12, L1, L2, L4, L5, S1 and S2.Between C3 and C5 there is a right cervical abscess and a left supraclavicular abscess.C7/T1 anterior left paravertebral abscess.T6 vertebra plana with an associated large paravertebral and epidural abscesses encroaching and narrowing the spinal canal, but without any cord compromise.T10/11 large paravertebral and left paraspinal abscess.L1/2 paraspinal and left para vertebral abscesses.Loculated paraspinal abscesses is seen at T12 to L4 and T7-T8.Mediastinal lymphadenopathy.