Presentation
History of esophageal carcinoma underwent surgical resection. Severe lower dorsal pain with weight loss, and fever two months after surgery.
Patient Data
Age: 55 years
Gender: Male
From the case:
Spondylodiscitis - thoracic spine
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Abnormal bone marrow signal at the D10/11 level vertebral body displaying T1 hypo- and T2 hyperintense signals associated with irregular opposing endplates, destructed and irregular intervening disc with central T2 hyperintense focus, and lacking a central nuclear cleft.
Dehydration at D7/8 and D8/9 levels.
Gastric pull-up surgery and moderate right-sided pleural effusion.
Case Discussion
Imaging features are most consistent with spondylodiscitis.