Pott disease

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Back pain and mild fever for months.

Patient Data

Age: 17 years
Gender: Male
CT

Prevertebral thoracic soft tissue mass was further investigated with MRI. 

MRI

 A large multilocular and septated fusiform para-spinal cystic collection is seen extending from T2 to T10 vertebral bodies, it shows low T1 and high T2 and STIR signal intensity. The lesion measures roughly about 16 x 6 x 5 m in its main CC and axial diameters. The lesion causes vertebral erosions and anterior vertebral scalloping. Associated vertebral osteomyelitis is seen with extensive areas of marrow oedema signal displaying low T1 and high T2 signal of the bony spine.

A small posterior intra-spinal epidural cystic lesion about 6 x 0.5 x 0.5 cm is seen indenting the cord posteriorly.

The dorsal discs are relatively spared with mild anterior T4/T5 spondylodiscitis. No posterior disc lesion. Normal size and signal intensity of the cord. Exaggerated dorsal kyphosis.

Case Discussion

The above described findings are those of dorsal vertebral tuberculous spondylitis

T4/T5 discitis and vertebral osteomyelitis with large multilocular and septated paraspinal abscess and smaller posterior intraspinal epidural abscess formations.

PlayAdd to Share

Case information

rID: 24055
Case created: 26th Jul 2013
Last edited: 4th May 2017
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.