#tuberculosisspine

Moon-Crater Spine This 24-years old lady came with backache post pregnancy. The MRI shows an L1 collapse but there are multiple bones involved giving a "moon crater" appearance with lamellated signal. The CT scan shows osteolytic lesions with sequestra explaining the MRI appearance. We did a biopsy. These findings are characteristic of osteomyelitis most likely of tuberculous etiology #tuberculosis #tuberculosisspine #spinetuberculosis #mri #spinemri #ctguidedbiopsy (at Picture This by Jankharia)

Not All Air Entry is Osteoporotic Collapse This 75-years old man came with backache and a compression # of the D12 vertebral body showing abnormal soft tissue. The PET/CT shows abnormal uptake and likely peri-osseous soft tissue, the CT scan showing osteolysis. A CT guided biopsy was performed. Pus was aspirated and a focus of air is seen within the aspirated cavity. This air however, unlike the last case, does not fill up the vertebral body or extend into other areas as with benign osteoporotic collapse, but remains localised in the void created by the aspirated material. #tuberculosis #tuberculosisspine #osteoporoticfracture #ctguidedbiopsy (at Picture This by Jankharia)