Disseminated tuberculosis

Case contributed by Andrew Lawson
Diagnosis almost certain

Presentation

Chronically ill man.

Patient Data

Age: 25 years
Gender: Male
x-ray

Multiple miliary lung nodules.

Right paravertebral soft tissue swelling suggesting spondylodiscitis +/- right psoas abscess.

ct

Bilateral <5 mm miliary nodules with a basal predominance.

ct

Multiple enhancing lesions, not visible on the non-contrast.

ct

Large right psoas abscess. L4 vertebral body destruction.

mri

Multi-level vertebral body enhancement with sparing of the discs.

Axial images again demonstrate the psoas collection. No epidural components.

Case Discussion

Proven Tuberculosis.

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