CASE 56 History: A 78-year-old man presents with a 3-month history of pain in the midback. 1. What should be included in the differential diagnosis? (Choose all that apply.) 2. Which of the following is not considered a “typical” finding of diskitis osteomyelitis on MRI? a. Loss of end-plate definition on T1-weighted images b. Decreased vertebral body signal on T1-weighted images c. Increased vertebral body signal on T2-weighted images d. Increased disk signal intensity on T2-weighted images 3. In what percentage of patients are “typical” findings of diskitis osteomyelitis observed? a. 5% b. 35% c. 75% d. 95% 4. Which of the following organisms most commonly causes diskitis osteomyelitis?
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