Spondylodiscitis

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Back pain and fever since six months ago.

Patient Data

Age: 70 years
Gender: Male
mri

Abnormal bone marrow signal is seen at the T11/12 level vertebral body displaying T1 hypo- and T2 FS hyperintense signals.

This is associated with irregular opposing endplates, destructed and irregular intervening disc with central T2 hyperintense focus lacking a central nuclear cleft.

Disc bulging with foraminal narrowing at T11/12 level.

Disc bulging at L4-L5 level.

No paraspinal collections.

No abscess formation.

Mild kyphotic deformity.

Case Discussion

Imaging features are most consistent with spondylodiscitis.

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