Presentation
Chronic intermittent fever and back pain.
Patient Data
The above described lesion shows low T1 and high T2 signal intensity with peripheral enhancement. It extends from T1 to T12 vertebral bodies.
Associated vertebral osteomyelitis from T1 To T12 is noted showing low T1, high T2 signal intensity and marked enhancement.
Marked enhancement of the epidural space with indentation on the spinal cord, with no abnormal signal intensity in the latter, denoting epiduritis.
Multiple collections of the posterior para-spinal soft tissue structures are seen.
A large lobulated multiseptated cystic para-spinal collection is noted, along the posterior mediastinum, measuring 20 x 14 x 8 cm ( CC x AP x transverse ), causing anterior scalloping and vertebral erosions.
It also causes mass effect on the posterior aspect of the esophagus with anterior deviation of the mediastinal components.
Case Discussion
This case demonstrates typical features of Pott disease.
Case contributed by Dr. Jean Aziz Dib and Dr. Joe Ghattas Yazbeck.
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