|Case 6 : (MRI)|
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T1/T2 WI revealed altered signal intensity changes involving L3 and
L4 vertebral bodies. Although the L3-L4 disc showed reduction in height,
margins were well maintained. Minimal anterior epidural granulation
tissue/ abscess was seen at L3-L4 level. There was no prevertebral or para
spinal extension. Coronal fast scan T2WI showed vertebral signal intensity
is a typical case of early tuberculous spondylitis, with involvement of
adjacent vertebral bodies and epidural extension of the granulation
tissue. X-rays were normal as there was no destruction of the vertebral
bodies or intervertebral discs or para-spinal extension of the granulation
detects these cases earlier as it is sensitive to bone marrow changes that
occur earlier than bone or disc destruction.
case is a classical example of this situation.
ContributionDr. Deepak Patkar, MRI Nanavati, Mumbai.