Case Of the Week (COW) 23 Nov 2014
Answer:
Post Tuberculous Spondylodiscitis Sequele
Findings and discussion:
Diffuse osteopenia. L1 to L4 spinous process hypertrophy with pseudoarthrosis. Destruction and wedging of L5 vertebral body. Loss of anterosuperior part of S1 vertebral body.Lytic and screotic changes in L4, L5, S1, S2 and S3 vertebral body. L5-S1 bony ankylosis. With past history of medical treatment, these features suggest post tuberculous spondylodiscitis sequele in an young adult.
Contributed By:
Dr. Premkumar Chidambaram MD, FRCR
Consultant Radiologist, Parvathy Hospital, Chennai
Answer:
Post Tuberculous Spondylodiscitis Sequele
Findings and discussion:
Diffuse osteopenia. L1 to L4 spinous process hypertrophy with pseudoarthrosis. Destruction and wedging of L5 vertebral body. Loss of anterosuperior part of S1 vertebral body.Lytic and screotic changes in L4, L5, S1, S2 and S3 vertebral body. L5-S1 bony ankylosis. With past history of medical treatment, these features suggest post tuberculous spondylodiscitis sequele in an young adult.
Contributed By:
Dr. Premkumar Chidambaram MD, FRCR
Consultant Radiologist, Parvathy Hospital, Chennai