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Slice 6 of 99
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CTMusculoskeletalConfirmedFRCR 2B
Tuberculosis - multisystem
Clinical Presentation
Fever of unknown origin. Being treated for a chest infection.
- 1Dense right lower lobe consolidation
- 2Widespread tree-in-bud change throughout the right lung.Segemental dilatation of the upper oseophagus with a fluid level within.Bilateral para-spinal soft tissue with extensive vertebral destruction of almost the whole of the thoracic spine.Bilateral lumbar paraspinal collection and a pre-sacral abscess
- 3Bilateral psoas-iliopsoas collections.Comment:TB with pulmonary and osseous involvement
- 4Psoas cold abscesses amenable to drainage with ultrasound
- 5Can perform on request
- 6Focal bony destruction at all levels of the lumbar spine and sacrum
- 7Pathological compression fractures involving T7, T9 and L5.Multiple enhancing lesions in the spine and pelvis associated with perivertebral enhancing collections
- 8These are at C7 to T12, C7 to T3 and L3 to S1.No epidural extension.Bilateral loculated iliopsoas abscesses, larger on the left measuring up to 10.5 x 8.7 cm in maximum axial dimensions.Grade 1 retrolisthesis of L5 on S1 is secondary to bilateral pars defects
- 9Otherwise the rest of the vertebral alignment is normal.Right lung consolidation.