Presentation
An active sports-loving child with 3 weeks of back pain. Otherwise well with normal CRP and white cell count. No fever.
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
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Herniation of disc material into the superior endplate of L1 with marked surrounding bone marrow edema but no involvement of the T12 endplate and no disc desiccation or edema.
Case Discussion
Major differential, in this case, is endplate osteomyelitis but no T12 involvement. L1 endplate cortex is otherwise intact. Follow-up after 12 weeks of rest (no sport) showed dramatic resolution of the bone marrow edema.