EURORAD ESR

Case 14197

Pott's spine with psoas abscess

Author(s)
Dr. Bhoomi Angirish, Dr. Harshad Shah, Dr. Asutosh Dave, Dr. Nirmala Chudasama, Dr. Chandresh Bharada, Dr. Darshit Shah

C.U.Shah Medical College and Hospital;
Dudhrej Road
363001 Surendranagar, India;
Email:angirish28@rediffmail.com
 
Patient
female, 50 year(s)
 
 
  • Figure 1
    CT Bone window
     

    CT axial Bone window shows irregularity of the vertebral body with sclerosis.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    CT Coronal Bone window shows irregularity and sclerosis of the end plates of contiguous vertebral bodies with loss of the height of disc space.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    CT Sagittal Bone window shows irregularity of the endplates of contiguous vertebral bodies along with sclerosis. There is also decreased disc space between involved vertebrae.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    CT Soft tissue window
     

    CT Axial Soft tissue window shows bulky left psoas muscle with well-defined hypodense area within it suggesting psoas abscess.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    CT Axial Soft tissue window shows bulky left psoas muscle with well-defined hypodense collection within it.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    MRI LS Spine Axial TIW image
     

    T1W image shows bulky left psoas muscle with hypointense collection in prevertebral and bilateral paravertebral region extending into left psoas muscle. A small extradural component compressing the cord is also seen.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    T1W image shows hypointense collection in left psoas muscle.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    MRI LS Spine Axial T2W image
     

    T2W image shows hyperintense collection in prevertebral and bilateral paravertebral region.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    T2W image shows hyperintense collection in prevertebral and bilateral paravertebral region extending into left psoas muscle. A small extradural component compressing the cord is also seen.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    MRI LS Spine Sagittal
     

    Endplate irregularity of L3-L4 vertebral bodies with loss of height of L3-L4 intervertebral disc. Well-defined hypointense collection in the prevertebral region extending from L3-L5 levels and posteriorly extending...

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Endplate irregularity of L3-L4 vertebral bodies with loss of L3-L4 disc height. Hyperintense collection in the prevertebral region extending from L3-L5 levels and posteriorly extending from L3-L4 level compressing the...

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 6
    MRI LS Spine Coronal
     

    T2W coronal image shows hyperintensity in the L3 and L4 vertebral bodies with loss of intervertebral disc space. There is a paravertebral and left psoas abscess.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    T2W image shows well-defined hyperintensity in bilateral paravertebral regions at the level of L3-L4 disc space and extending into and along the left psoas muscle suggesting a psoas abscess.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
CT axial Bone window shows irregularity of the vertebral body with sclerosis.
 
CT Coronal Bone window shows irregularity and sclerosis of the end plates of contiguous vertebral bodies with loss of the height of disc space.
 
CT Sagittal Bone window shows irregularity of the endplates of contiguous vertebral bodies along with sclerosis. There is also decreased disc space between involved vertebrae.
 
CT Axial Soft tissue window shows bulky left psoas muscle with well-defined hypodense area within it suggesting psoas abscess.
 
CT Axial Soft tissue window shows bulky left psoas muscle with well-defined hypodense collection within it.
 
T1W image shows bulky left psoas muscle with hypointense collection in prevertebral and bilateral paravertebral region extending into left psoas muscle. A small extradural component compressing the cord is also seen.
 
T1W image shows hypointense collection in left psoas muscle.
 
T2W image shows hyperintense collection in prevertebral and bilateral paravertebral region.
 
T2W image shows hyperintense collection in prevertebral and bilateral paravertebral region extending into left psoas muscle. A small extradural component compressing the cord is also seen.
 
Endplate irregularity of L3-L4 vertebral bodies with loss of height of L3-L4 intervertebral disc. Well-defined hypointense collection in the prevertebral region extending from L3-L5 levels and posteriorly extending from L3-L4 level.
 
Endplate irregularity of L3-L4 vertebral bodies with loss of L3-L4 disc height. Hyperintense collection in the prevertebral region extending from L3-L5 levels and posteriorly extending from L3-L4 level compressing the cord.
 
T2W coronal image shows hyperintensity in the L3 and L4 vertebral bodies with loss of intervertebral disc space. There is a paravertebral and left psoas abscess.
 
T2W image shows well-defined hyperintensity in bilateral paravertebral regions at the level of L3-L4 disc space and extending into and along the left psoas muscle suggesting a psoas abscess.
 
 
 
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