PMC7467892_01
sequential T2-weighted magnetic resonance images of the lumbar spine; A) sagittal; B) coronal views, showing spondylitis L1L2 with collections of the vertebral bodies and in the left psoas
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F1
Magnetic resonance imaging (MRI) showed features suggestive of Ttuberculous (TB) spondylitis interesting lower shelf of L1 and upper shelf of L2, respect for the height of the vertebral bodies with discrete epiduritis. MRI also showed a collection of vertebral bodies L1L2, which communicates with another one abscessed in the left psoas (Figure 1).
sequential T2-weighted magnetic resonance images of the lumbar spine; A) sagittal; B) coronal views, showing spondylodiscitis L1L2 with a significantly increased size of the left psoas abscess
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F2
A dorso-lombar MRI showed spondylodiscitis L1L2 with a significantly increased size of the left psoas abscess (Figure 2).
abdomino-pelvic CT showing collections in the left iliac psoas muscle and the left gluteal and the trochanteric region
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F3
An abdomino-pelvic CT showed collections in left iliac psoas muscle and the left gluteal and trochanteric region (Figure 3).
sequential T2-weighted magnetic resonance images of the lumbar spine; A) sagittal; B) coronal views, showing vertebral fractures L1-L2 and a small collection of the left psoas which is atrophied
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F4
Imaging monitoring performed at 12 months of second line treatment, showed no residual collections in thoraco-abdomino-pelvic CT, MRI found a vertebral fracture L1-L2 and quasidisappearance of psoas collection, only a small collection measuring less than 1cm was found without enhancement after gadolinium injection (Figure 4).