Pott's spine with bilateral psoas abscesses

Case contributed by Prashant Kandel
Diagnosis almost certain

Presentation

Abdominal pain.

Patient Data

Age: 30 years
Gender: Female
This study is a stack
Axial
non-contrast
This study is a stack
Axial C+
arterial phase
This study is a stack
Axial C+
venous phase
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Info

There is lytic destruction of L2, L3 and L4 vertebrae associated with paraspinal abscess and large bilateral psoas abscesses (left > right).

This study is a stack
Sagittal
T1
This study is a stack
Axial
T1
This study is a stack
Sagittal
T2
This study is a stack
Axial
T2
This study is a stack
Sagittal
STIR
This study is a stack
Coronal
STIR
This study is a stack
Axial
DWI
This study is a stack
Axial
ADC
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Sagittal
T2
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Info

There is altered signal intensity contiguously involving L1, L2, L3 vertebra and intervening discs showing heterogeneous enhancement associated with pedicle destruction. There are also paravertebral and large bilateral psoas abscesses (left > right) showing peripheral rim enhancement with central diffusion restriction.

There is symmetrical, diffuse disc bulge at L3/L4 and L4/L5 levels.

Sacralization of L5 vertebra.

Case Discussion

Case of tubercular spondylodiscitis (Pott's spine) associated with bilateral psoas abscesses.

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