Pathways of Spread


(Left) Sagittal graphic shows lumbar disc space infection with vertebral body osteomyelitis with endplate destruction and marrow edema. There are ventral and dorsal abscess collections.


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(Right) Sagittal T1WI C+ FS MR in this case of disc space infection shows enhancement of L5 and S1 bodies image and intervertebral disc, with prevertebral and epidural phlegmon image extension.

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(Left) Axial T1WI C+ MR of a disc space infection shows inflammatory extension into the prevertebral space, psoas muscles, and dorsal spinal muscles. Phlegmon extends into the ventral epidural space with thecal sac compression image.


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(Right) Axial T2WI FS MR shows inflammatory extension into the prevertebral space, psoas muscles image, and dorsal spinal muscles image.

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(Left) Axial T1WI C+ MR shows disseminated coccidioidomycosis with diffuse bone and soft tissue involvement and adjacent paraspinal extension and extension into lung.


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(Right) Axial T2WI MR in coccidioidomycosis shows huge paraspinal abscesses image. There is effacement of the normal thecal sac within the spinal canal due to disc space infection and osteomyelitis.


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(Left) Sagittal graphic shows dermal sinus image extending from skin surface to conus, with conus abscess image and extensive cord edema.

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(Right) Sagittal T2WI MR in a patient with a cervical cord abscess and streptococcal endocarditis shows diffuse cord expansion, with a ring-shaped area of low T2 signal (abscess capsule) within the cord from C4 to C5-C6 image.

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Oct 5, 2016 | Posted by in NEUROLOGICAL IMAGING | Comments Off on Pathways of Spread

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