Presentation
Severe back pain with weight loss, and night sweats in a patient treated for chest infection.
Patient Data
Loss of the T9-T10 intravertebral disc space with irregular bony destruction and sclerotic changes of the vertebral endplates, inferior of T9 and superior of T10. Thickening with enhancement of the prevertebral and anterior epidural spaces with compression of the adjacent segment of the spinal cord.
Extensive calcification of thoracic and abdominal aortic wall as well as the iliac arteries with partially thrombosed aneurysm of the infrarenal aorta.
Case Discussion
CT features of a thoracic spondylodiscitis of tuberculous origin (patient treated for pulmonary tuberculosis). The thoracic spine is a common location for tuberculous spondylitis. Usually because of hematogenous spread that can occur via both arteries and veins, resulting in distinct patterns of infection.