Tuberculous spondylodiscitis with bilateral calcified psoas abscesses
Diagnosis almost certain
Presentation
Lower back pain.
Patient Data
Age: 40 years
Gender: Male
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Marked destruction of L3, L4 vertebral bodies and its posterior elements with loss of vertebral body height and evidence of paraspinal and spinal canal extension. Loss of disc height.
Expansile, calcified lesions within medial aspect of psoas muscles seen bilaterally.
Catheter is in situ.
The left transverse process of L5 vertebra is enlarged with pseudoarticulation with sacra ala noted-Type IIA (LSTV classification).
Mild bilateral Sacroiliitis.
Case Discussion
Tuberculous spondylitis and bilateral calcified psoas muscles abscess formation.