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Reactivation tuberculosis (TB) Vertebral osteomyelitis, paraspinal psoas abscess

Riego de Dios RRDD - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Reactivation tuberculosis (TB) Vertebral osteomyelitis, paraspinal psoas abscess

History: 23 y.o. man with a chronic cough, thought to be secondary to allergies. He also has a history of chronic low back pain.

Findings: Chest radiograph demonstrates biapical reticulonodular opacities with a cavitary lesion in the right upper lobe. CT: Chest CT demonstrates tree-in-bud opacities in the upper lobes and mid lungs with a cavitary lesion in the right upper lobe. Right hilar lymphadenopathy was present. Lumbar spine demonstrates L3-4 intervertebral disk space narrowing with irregularity of the end plates and no osteophyte formation. MRI: Right paravertebral rim enhancing fluid is demonstrated adjacent to the L4 level. Marrow edema is present in L3 through L5.

Ddx: Spinal involvement: Metastasis Brucellosis Fungal infection Sarcoid

Dxhow: Combination of imaging, and known active pulmonary tuberculosis.

Exam: WBC 6000 Positive PPD

No MeSH data available.


Close up AP radiographs of the lumbar spine.  At the L3-4 level (arrows), there is intervertebral disk space narrowing with endplate irregularity and absence of osteophyte formation.
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MPX1800_synpic31554: Close up AP radiographs of the lumbar spine. At the L3-4 level (arrows), there is intervertebral disk space narrowing with endplate irregularity and absence of osteophyte formation.


Reactivation tuberculosis (TB) Vertebral osteomyelitis, paraspinal psoas abscess

Riego de Dios RRDD - MedPix (2006)

Close up AP radiographs of the lumbar spine.  At the L3-4 level (arrows), there is intervertebral disk space narrowing with endplate irregularity and absence of osteophyte formation.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
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getmorefigures.php?uid=MPX1800&req=5

MPX1800_synpic31554: Close up AP radiographs of the lumbar spine. At the L3-4 level (arrows), there is intervertebral disk space narrowing with endplate irregularity and absence of osteophyte formation.

View Article: MedPix Image - MedPix Case

Affiliation: National Capital Consortium

ABSTRACT

Diagnosis: Reactivation tuberculosis (TB) Vertebral osteomyelitis, paraspinal psoas abscess

History: 23 y.o. man with a chronic cough, thought to be secondary to allergies. He also has a history of chronic low back pain.

Findings: Chest radiograph demonstrates biapical reticulonodular opacities with a cavitary lesion in the right upper lobe. CT: Chest CT demonstrates tree-in-bud opacities in the upper lobes and mid lungs with a cavitary lesion in the right upper lobe. Right hilar lymphadenopathy was present. Lumbar spine demonstrates L3-4 intervertebral disk space narrowing with irregularity of the end plates and no osteophyte formation. MRI: Right paravertebral rim enhancing fluid is demonstrated adjacent to the L4 level. Marrow edema is present in L3 through L5.

Ddx: Spinal involvement: Metastasis Brucellosis Fungal infection Sarcoid

Dxhow: Combination of imaging, and known active pulmonary tuberculosis.

Exam: WBC 6000 Positive PPD

No MeSH data available.