Presentation
Low back pain with elevated serum CRP.
Patient Data
Age: 65 years
Gender: Female
From the case:
Spondylodiscitis - lumbar spine
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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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