Spondylodiscitis - lumbar spine

Case contributed by Dr Ammar Haouimi

Presentation

Low back pain with elevated serum CRP.

Patient Data

Age: 65 years
Gender: Female
MRI

The MRI sequences demonstrate:

  • narrowing of L4-L5 disc spaces
  • low signal on T1, high signal on T2/STIR of the disc space and L4, L5 vertebral bodies mainly the endplates with the irregularity of the anterosuperior endplate of L5 and enhancement on postcontrast sequences
  • thickening with enhancement of the paravertebral and anterior epidural spaces with small abscesses formation within the posterior aspect of L5 vertebral body and epidural space 

Case Discussion

MRI features of L4-L5 spondylodiscitis.

MRI is the imaging modality of choice due to its very high sensitivity and specificity.

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Case information

rID: 83509
Published: 26th Oct 2020
Last edited: 26th Oct 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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