PMC7094044_01
Diffuse complete-incomplete consolidation areas and increased reticulonodular thickness (yellow arrows) in the lower lobes of the bilateral lungs in axial thoracic computed tomography imaging. Fluid collection consistent with fissuritis visible in the left major fissure (black arrow)
1678-9849-rsbmt-53-e20190581-gf1.jpg
PMC7094044_01_1678-9849-rsbmt-53-e20190581-gf1.jpg
f1
Pulmonary computed tomography showed ground-glass opacity and incomplete-complete consolidation in the bilateral lungs (Figure 1).
Lumbar magnetic resonance imaging consistent with an abscess at the L4-S2 vertebral level, appearing hypointense in T1 -weighted sections (A), hyperintense in T2-weighted images (B), and with intense contrast enhancement in post-contrast sections (C) (yellow arrows). Pathological signal changes compatible with spondylodiscitis exhibiting extension to the anterior epidural fatty planes are visible in the corners of the L5 vertebra (*) and S1 corpus and L5-S1 intervertebral disc intensity (white arrow).
1678-9849-rsbmt-53-e20190581-gf2.jpg
PMC7094044_01_1678-9849-rsbmt-53-e20190581-gf2.jpg
f2
A 1 x 9-cm abscess was observed at the L4-S2 vertebral level in lumbar magnetic resonance imaging (MRI), with contrast involvement in post-contrast sections (Figure 2).
Post-treatment images showing narrowing in the L5-S1 discs in (A) T1-weighted, (B) T2-weighted (B), and post-contrast images (C). The white arrow showsdecreased pathological signals in the corners of the L5-S1 corpus exhibiting extension to the anterior epidural fat. (L5- *).
1678-9849-rsbmt-53-e20190581-gf3.jpg
PMC7094044_01_1678-9849-rsbmt-53-e20190581-gf3.jpg
f3
Lesion regression was observed in control MRI performed at nine months (Figure 3). 