Case contributed by Bahman Rasuli
Diagnosis almost certain


Back pain and fever from a month ago.

Patient Data

Age: 55 years
Gender: Male

Abnormal bone marrow signal is seen at the T10 and T11 vertebral bodies displaying T1 hypo- and T2 hyperintense signals associated with enhancement

This is associated with irregular opposing endplates, narrowing of T10-T11 disc with central T2 hyperintense focus lacking a central nuclear cleft

Esophagectomy and gastric pull-up reconstruction.

Case Discussion

Imaging features are most consistent with spondylodiscitis.

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