Presentation
Neck pain. Poorly-controlled diabetic patient.
Patient Data
Age: 50 years
Gender: Male
{"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/26535/annotated_viewer_json?lang=us"}
Plain x-ray shows enlargement of the prevertebral soft tissue shadow at C1/C2 level.
{"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/21751/annotated_viewer_json?lang=us"}
MRI shows a destructive lesion is seen involving and centered about the atlanto-axial articulation with edema signal of low T1 and high T2 signal as well as pre-vertebral inflammatory soft tissue. Preserved height and bright T2 signal intensity. No significant posterior disc lesion. Normal cord and cervico-medullary junction.
Case Discussion
Spondylodiscitis, most likely tuberculous with pre-vertebral inflammatory soft tissue lesion (Atlanto-axial TB).
Unable to process the form. Check for errors and try again.