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Case 3: 54-year-old woman with Aspergillus osteomyelitis.

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Presentation on theme: "Case 3: 54-year-old woman with Aspergillus osteomyelitis."— Presentation transcript:

1 Case 3: 54-year-old woman with Aspergillus osteomyelitis.
Case 3: 54-year-old woman with Aspergillus osteomyelitis. Biopsy was performed of the L2–L3 paraspinal inflammation and the L3 vertebra. A, Sagittal T1-weighted (666/15/2) image of the lumbar spine shows multilevel disease with hypointensity in the L2, L3, vertebrae and superior endplate of L4 (arrows). Paraspinal and epidural disease is also present.B and C, Sagittal and parasagittal contrast-enhanced T1-weighted (616/10/2) images show enhancing paraspinal and epidural inflammation. Disease also extends into the pedicles.D and E, Sagittal T2-weighted (3500/102/2) fast spin-echo images with (D) and without (E) fat-saturation technique show hyperintense signal within the L2, L3, and L4 vertebrae and superior endplate of L4. Note the increased conspicuity of signal change with fat-saturation. In addition, the L3–L4 disk is normal in signal with a preserved intranuclear cleft. The L2–L3 disk is collapsed.F, Axial T1-weighted (500/18/1.5) spin-echo image at the L3 level depicts epidural and paraspinal inflammation (arrows). Robert L. Williams et al. AJNR Am J Neuroradiol 1999;20: ©1999 by American Society of Neuroradiology

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