CT - CT chest, abdomen and pelvis
Coronal lung window
Coronal Mediastinal window
Coronal C+ portal venous phase
Sagittal C+ portal venous phase
Axial C+ portal venous phase
Sagittal bone window
Post-primary TB of the lungs. TB granulomas at the liver, spleen and kidneys. TB of the spine involving T5, S1 and S2 vertebral bodies with prevertebral and bilateral psoas abscesses.
Left apical cavitary lesion with scattered coarse reticulonodular densities, fibrotic changes and few small ill-defined patches of consolidation. Changes are appreciated at the upper lung zones. No significant hilar or mediastinal lymphadenopathy.
Scattered small rounded well-defined hypodensities seen in the liver, spleen and both kidneys, suggesting TB granulomas. There are also bilateral fluid densities at the iliopsoas muscles more on the left side showing average wall enhancement, in keeping with iliopsoas abscesses. Prevertebral and presacral fluid attenuation with enhancing walls at L5, S1 and S2 levels with extension to L5-S1 disc.
Axial scans of the pelvis demonstrating the extent of the prevertebral and presacral abscess together with the bilateral iliopsoas abscesses, the left side is larger in size, however, there is evidence of multiple loculi on the right side.
Lytic and sclerotic changes at L5 and S1 vertebral bodies with irregularity and destruction seen at L5-S1 disc.