Presentation
Chronically ill man.
Patient Data
Age: 25 years
Gender: Male
From the case:
Disseminated tuberculosis
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Multiple miliary lung nodules.
Right paravertebral soft tissue swelling suggesting spondylodiscitis +/- right psoas abscess.
From the case:
Disseminated tuberculosis
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Bilateral <5 mm miliary nodules with a basal predominance.
From the case:
Disseminated tuberculosis
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Multiple enhancing lesions, not visible on the non-contrast.
From the case:
Disseminated tuberculosis
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Large right psoas abscess. L4 vertebral body destruction.
From the case:
Disseminated tuberculosis
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Multi-level vertebral body enhancement with sparing of the discs.
Axial images again demonstrate the psoas collection. No epidural components.
Case Discussion
Proven Tuberculosis.