Pott disease with a large cold abscess
Back pain and swelling. History of pulmonary tuberculosis in treatment.
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There are a T2-T3 inflammatory process involving the vertebral end plates and bodies with a kyphotic deformity. A large multiloculated thick-walled abscess (cold abscess) extending from para-spinal regions to the posterior aspect of the chest, as a consequence of the spondylodiskitis, is also noted.
Pott disease is a common cause of spondylodiskitis. Formation of a cold abscess around the vertebral lesion is a characteristic. Cold abscess takes the path of least resistance along the natural fascial planes and can grow to a very large size.
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