Presentation
Back pain and fever.
Patient Data
Age: 55 years
Gender: Male
From the case:
Spondylodiscitis
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/122070/annotated_viewer_json?iframe=true\u0026lang=us"}
- 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.