Figure D. Spine MRI 26 days after initial presentation reveals pathologic collapse of L4 with a retropulsive fracture, superimposed phlegmons bilaterally,

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Figure D. Spine MRI 26 days after initial presentation reveals pathologic collapse of L4 with a retropulsive fracture, superimposed phlegmons bilaterally, severe spinal stenosis, and compression of the cauda equina, as well as L3-L4 foraminal stenosis. Narjust Duma MD et al. Reactivation of Spinal Tuberculosis in a Patient with Rheumatoid Arthritis on Low-dose Methotrexate. American Journal of Medical Case Reports, 2015, Vol. 3, No. 5, 137-140. doi:10.12691/ajmcr-3-5-5 © The Author(s) 2015. Published by Science and Education Publishing.