EURORAD ESR

Case 2917

The role of the radiologist in the diagnosis of tuberculous spondylitis

Author(s)
Basha M, Krasniqi S
 
Patient
male, 40 year(s)
 
 
  • Figure 1
    X-ray of the lumbar vertebrae
     

    A lateral X-ray showing the loss of contour and the rare bone structure of the fifth lumbar vertebra.

     
    Area of Interest: unknown; Imaging Technique: Figure 1-Lumbar vertebrae x-ray;

    An image showing the destruction of the fifth lumbar vertebra with some tiny fragments of different sizes.

     
    Area of Interest: unknown; Imaging Technique: Figure 1-Lumbar vertebrae x-ray;

    An image showing the replacement of the destructed bone tissue by soft-tissue masses of osteolytic types, mostly seen paravertebral and intraspinally, which comprise the spinal cord channel.

     
    Area of Interest: unknown; Imaging Technique: Figure 1-Lumbar vertebrae x-ray;
     
     
  • Figure 2
    Chest X-ray
     

    An imsge revealing the presence of a large, well-defined mass in the right upper zone. The discrete radiolucency present also in the left upper zone can be seen.

     
    Area of Interest: unknown; Imaging Technique: Chest x-ray;

    A lateral X-ray showing the presence of a well-defined mass covering the right posterior segment of the upper lobe, consolidation of the anterior segment of the upper lobe and the narrowing trachea.

     
    Area of Interest: unknown; Imaging Technique: Chest x-ray;
     
     
  • Figure 3
    Spiral CT scan of the chest

    An image showing the consolidation of the apical upper lobes and the consolidation of the right posterior segment with air bronchogram.

     
    Area of Interest: unknown; Imaging Technique: Chest CT spiral scan;
     
     
  • Figure 4
    Spiral CT scan of the brain
     

    An image showing the hypodense granuloma surrounded by hyperdense edema at the left frontal region and shift of the midline structures (interhemispheric fissure) with cerebral abscess.

     
    Area of Interest: unknown; Imaging Technique: Brain CT spiral scan;

    The contrast-enhanced CT scan showing that the granuloma has a hypodense center and hyperdense surrounding edema.

     
    Area of Interest: unknown; Imaging Technique: Brain CT spiral scan;
     
     
  • Figure 5
    Scyntigraphy of whole body

    An image showing the homogeneous distribution of the osteotrop radiopharmac with usual intensity. On the vertebral body of L5, a focal solitary discrete zone is seen without the accumulation of radiopharmaces as a...

     
    Area of Interest: unknown; Imaging Technique: Scyntigraphy of whole body;
     
     
A lateral X-ray showing the loss of contour and the rare bone structure of the fifth lumbar vertebra.
 
An image showing the destruction of the fifth lumbar vertebra with some tiny fragments of different sizes.
 
An image showing the replacement of the destructed bone tissue by soft-tissue masses of osteolytic types, mostly seen paravertebral and intraspinally, which comprise the spinal cord channel.
 
An imsge revealing the presence of a large, well-defined mass in the right upper zone. The discrete radiolucency present also in the left upper zone can be seen.
 
A lateral X-ray showing the presence of a well-defined mass covering the right posterior segment of the upper lobe, consolidation of the anterior segment of the upper lobe and the narrowing trachea.
 
An image showing the consolidation of the apical upper lobes and the consolidation of the right posterior segment with air bronchogram.
 
An image showing the hypodense granuloma surrounded by hyperdense edema at the left frontal region and shift of the midline structures (interhemispheric fissure) with cerebral abscess.
 
The contrast-enhanced CT scan showing that the granuloma has a hypodense center and hyperdense surrounding edema.
 
An image showing the homogeneous distribution of the osteotrop radiopharmac with usual intensity. On the vertebral body of L5, a focal solitary discrete zone is seen without the accumulation of radiopharmaces as a result of bone lyses. The focal accumulation on sterno-clavicular articulation is also seen. The involement of the acetabulum with high focal accumulation of osteoblastic activity is revealed.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version