Case contributed by Bahman Rasuli


Back pain and fever.

Patient Data

Age: 55 years
Gender: Male
  • abnormal bone marrow signal at the L2/3 level vertebral body displaying T1 hypo- and T2 hyperintense signals associated with irregular opposing endplates, destructed and irregular intervening disc with central T2 hyperintense focus, and lacking a central nuclear cleft
  • spondylotic canal stenosis and derangement of the nerve roots at L3/4 and L4/5 levels in the background of disco osteophyte protrusion with thecal sac indentation and foraminal narrowing as well as facet joints hypertrophy

Case Discussion

Imaging features are most consistent with spondylodiscitis.

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