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Slice 6 of 77
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CTMusculoskeletalConfirmedFRCR 2B
Tuberculous spondylitis
Clinical Presentation
A 50-year-old male presents to the clinic with persistent morning stiffness, symmetrical joint swelling, and chronic inflammatory pain.
- 1Destructive process involves the left side of the L5 vertebral body
- 2The discs are relatively spared, compared to the degree of bony destruction
- 3Destructive process involves the left side of the L5 vertebral body, with a non-enhancing fluid component laterally
- 4The discs are relatively spared, compared to the degree of bony destruction
- 5Only a small epidural component is present
- 6HistologyMICROSCOPIC DESCRIPTION:The sections show necrotizing granulomatous inflammation withscattered nodular aggregates of epithelioid histiocytes andmultinucleated giant cells
- 7Necrosis is seen
- 8The granulomas aresurrounded by abundant lymphocytes
- 9No tumor is identified
- 10TheGrocott stain shows no fungi