Presentation
Low back pain with weight loss, low grade fever and elevated CRP.
Patient Data
Narrowing of the L2-L3 disc space with sclerosis, irregular endplates destruction and fragmentation of the vertebral bodies. Thickening of the prevertebral soft tissue with small abscess formations within the psoas muscles showing foci of calcification. Soft tissue thickening with enhancement of the anterior epidural space extending from the posterosuperior angle of L2 to the posteroinferior angle of L3, containing small abscess formations, displacing the origin of the cauda equina.
Case Discussion
CT features of L2-L3 spondylodiscitis with abscess formations of the psoas muscles (confirmed as tuberculous in origin).