Presentation
Severe upper dorsal pain with fever, weight loss, and elevated CRP and ESR.
Patient Data
Age: 60 years
Gender: Male
From the case:
Tuberculous spondylodiscitis
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Narrowing of T4-T5 disc space with a low signal on T1, high signal on T2 and STIR with heterogeneous enhancement of the T4 and T5 vertebral bodies and posterior elements (bone marrow edema). Thickening with enhancement of the prevertebral, costovertebral and epidural spaces with no obvious abscess formation. Mild edema of the adjacent segment of the spinal cord.
Degenerative disc disease mainly at C6-C7.
Case Discussion
MRI features most consistent with spondylodiscitis of T4-T5 (confirmed as tuberculous in origin).