MedPix Medical Image Database COW - Case of the Week Case Contributor: Steven J Goldstein Affiliation: University of Kentucky
MedPix No: History Pt Demographics: Age = 24 y.o. Gender = man 24 year old recent immigrant from Bangladesh. Referred to hospital for MRI by the local health department with diagnosis of spinal TB Downloaded by (-1)
MedPix No: EXAM & LABS Not available
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine Destructive lesion at L2 with extension into right psoas muscle and ventral paraspinal rim enhancing collection consistent with abscess. Downloaded by (-1)
Tuberculosis of the Lumbar Spine MRI done 8 months previously prior to therapy, shows all masses to be larger including the psoas abscess. - Downloaded by (-1)
Tuberculosis of the Lumbar Spine MRI done 8 months previously prior to therapy, shows all masses to be larger including the psoas abscess. - Downloaded by (-1)
Tuberculosis of the Lumbar Spine MRI done 8 months previously prior to therapy, shows all masses to be larger including the psoas abscess. - Downloaded by (-1)
Tuberculosis of the Lumbar Spine MRI done 8 months previously prior to therapy, shows all masses to be larger including the psoas abscess. - Downloaded by (-1)
FINDINGS Destructive lesion at L2 with ventral paraspinal enhancing collection consistent with abscess.
DIFFERENTIAL DIAGNOSIS What is your Differential Diagnosis? trauma - Pyogenic spondylodiscitis - metastatic tumor - Lymphoma - Pott*s disease
Diagnosis: Spinal Tuberculosis/Potts Disease Dx Confirmed by: Imaging and provided History
DISCUSSION