Wednesday 23 November 2011

Vertebral Osteomyelitis MRI

MRI Cervical spine Sagittal T1 and Post contrast T1
This MRI Cervical spine shows:
Multiple and contiguous involvement of cervical vertebrae (C2 to C6); vertebral bodies as well as there posterior elements show diffuse low marrow signal on T1 due to abnormal replacement of normal T1 bright fatty marrow.
An associated anterior epidural soft tissue extending from C2-3 to C7-D1 disc levels causing bony canal stenosis and cord compression. Encasement of exiting nerve roots in neural foramen.
The epidural soft tissue is in continuity with pre vertebral space, pre vertebral soft tissue extending from C1-2 to C7-D1 level with erosions of adjacent anterior surfaces of vertebral bodies.
Areas of abnormal marrow signals, the anterior epidural and pre vertebral soft tissue show homogeneous enhancement on post contrast T1.
Intervening inter vertebral discs are relatively spared.
Loss of normal cervical lordosis.

Imaging wise : Vertebral Osteomyelitis with an associated anterior epidural and prevertebral Abscess. 

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