Spondylo-discitis (MR).

PROTOCOL:   T1W & T2W - Sagittal & Axial scans

FINDINGS& IMPRESSION:

-A case of Spondylo-discitis revealed:
• Affection of L2 and L1 vertebral bodies with severe collapse of the former.
• Minimal inflammatory changes in the D12 vertebral body for clinical correlation.
• Irregularity of the lower end plate of L1 vertebral body.
• Retropulsion of inflammatory reaction at the level of L1-2 disc causing severe compression of cauda at that level with enhanced margins (abscess formation).
• Anterior extension of the abscess at the level of L1-2.
• Right para vertebral abscess with multiple loculation and marginal enhancement with measurement of about 110 x 43 mm diameters.
• Left para vertebral abscess with multiple loculation and marginal enhancement with measurements of 120 x 31 mm in diameters.
• Both para vertebral abscesses mentioned above are extended from L1to L5 vertebral bodies.
• L5-S1: Central disc protrusion / degenerative disc disease complex causing moderate thecal indentation and bilateral moderate foraminal encroachment.
• Mild scoliotic deformity of lumbar spine with convexity toward the left side of patient.
• The rest of the vertebral bodies and intervertebral discs show normal MR morphology.



Reported By : DR.MOHAMMED MOHYELDIN
 Consultant-Radiologist
Report Status : Validated / Validated By :  Dr.Mohammed Mohyeldin