There is lytic destruction with associated soft tissue mass involving the T10 to T12 vertebral bodies. The lesion extends posteriorly to the anterior epidural space from T8 to T12 compressing on the spinal canal. A paravertebral component is also observed on the left side from T9 to T12, insinuating into the left neural canals at T10-T11 and T11-T12 with encasement of intercostal arteries. These findings are consistent with the clinically proven tuberculous spondylitis (Pott disease).
The liver is enlarged with a span of 17.6 cm in craniocaudal dimension. Plain and contrast-enhanced images show multiple hepatic nodules with peripheral areas of low attenuation and central calcifications (target sign). The dominant hepatic lesions measure about 2.0 x 2.4 x 2.6 cm (AP x T x CC) at segment II, 2.2 x 2.2 x 2.0 cm at segment IVB and 2.1 x 2.2 x 2.1 cm at segment VI. The rest of the nodules range in size from 0.6 cm to 2 cm in diameter. The intrahepatic and extrahepatic bile ducts are not dilated. The portal vein is patent.
There are enlarged lymph nodes in the gastrohepatic region, mesentery and retroperitoneum.
The rest of the abdominal findings are grossly unremarkable.