EURORAD ESR

Case 2889

Pott's disease of upper thoracic spine

Author(s)
Syed T, Macnamara M
 
Patient
female, 37 year(s)
 
 
  • Figure 1
    An axial CT image of the upper thoracic spine

    An axial CT image post IV contrast, at the level of the thoracic inlet, showing a paravertebral multi-loculated abscess with peripheral enhancing rims and central low attenuation necrotic areas.

     
    Area of Interest: unknown; Imaging Technique: Axial CT of upper thoracic spine;
     
     
  • Figure 2
    A sagittal MR Image of the thoracic spine

    Sagittal T1 weighted MR images showing a low signal multi-loculated prevertebral mass. There is a complete destruction of T1/T2 intervertebral discs, with mixed signal mass in the anterior CSF space. Note also that...

     
    Area of Interest: unknown; Imaging Technique: Sagittal MR Image of Thoracic spine;
     
     
  • Figure 3
    A sagittal T1 weighted MR Image of the thoracic spine

    Description as for Fig. 2.

     
    Area of Interest: unknown; Imaging Technique: Sagittal T1 weighted MR Image of Thoracic spine;
     
     
  • Figure 4
    Axial T1 weighted MR image through T1/T2 disc.

    An axial T1 weighted image through the T1/T2 disc; showing a low signal prevertebral cold abscess, destruction of the disc, and a marked cord compression. This image is the corresponding axial image of the CT image...

     
    Area of Interest: unknown; Imaging Technique: Axial T1 weighted MR image through T1/T2 disc.;
     
     
  • Figure 5
    Axial T2 weighted MR image through C7/T1 disc.

    An axial T2 weighted image through the C7/T1 disc level (one level above the involved disc), showing a high signal cold abscess in the prevertebral region.

     
    Area of Interest: unknown; Imaging Technique: Axial T2 weighted MR image through C7/T1 disc.;
     
     
  • Figure 6
    A sagittal T2 weighted MR image of the thoracic spine

    A sagittal T2 weighted imag, showing a marked destruction of T1/T2 intervertebral disc with an anterior prevertebral cold abscess and thecal compression.

     
    Area of Interest: unknown; Imaging Technique: A sagittal T2 weighted MR image of thoracic spine;
     
     
  • Figure 7
    A sagittal T2 weighted image of the thoracic spine

    A sagittal T2 weighted image, showing an extensive high signal cold abscess in the prevertebral region, arising and tracking upwards from the T1/T2 disc level.

     
    Area of Interest: unknown; Imaging Technique: A sagittal T2 weighted image of thoracic spine;
     
     
  • Figure 8
    A sagittal fat saturated MR image of the thoracic spine

    Description same as for Fig. 7.

     
    Area of Interest: unknown; Imaging Technique: A sagittal fat saturated MR image of thoracic spine;
     
     
An axial CT image post IV contrast, at the level of the thoracic inlet, showing a paravertebral multi-loculated abscess with peripheral enhancing rims and central low attenuation necrotic areas.
 
Sagittal T1 weighted MR images showing a low signal multi-loculated prevertebral mass. There is a complete destruction of T1/T2 intervertebral discs, with mixed signal mass in the anterior CSF space. Note also that there is a marked thecal indentation with cord compression at this level.
 
Description as for Fig. 2.
 
An axial T1 weighted image through the T1/T2 disc; showing a low signal prevertebral cold abscess, destruction of the disc, and a marked cord compression. This image is the corresponding axial image of the CT image shown in Fig. 1.
 
An axial T2 weighted image through the C7/T1 disc level (one level above the involved disc), showing a high signal cold abscess in the prevertebral region.
 
A sagittal T2 weighted imag, showing a marked destruction of T1/T2 intervertebral disc with an anterior prevertebral cold abscess and thecal compression.
 
A sagittal T2 weighted image, showing an extensive high signal cold abscess in the prevertebral region, arising and tracking upwards from the T1/T2 disc level.
 
Description same as for Fig. 7.
 
 
 
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