PMC8081597_01
Lateral spine X-ray demonstrates destruction of the thoracic vertebra (T11) body and inferior end plate of the T10 vertebra with loss of disk spaces between T10, T11, and T12.
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T10, T11, and T12 (Figure 1). The contrasted magnetic resonance imaging (MRI) of her spine showed kyphotic destruction of thoracic vertebrae T10, T11, and T12 with abnormal high signal on T2 and low signal on T1 in addition to a large heterogeneous multiloculated prevertabral and paraspinal abscess extending from T7 through T12 with a peripheral thick wall that had low T2 and high T1 signal with intense enhancement. These are associated with an epidural collection and retropulsed collapsed T11, which result in complete attenuation of the anterior subarachnoid spaces and compression of the distal cord (Figure 2).
Contrasted magnetic resonance imaging (MRI) of the spine shows kyphotic destruction of thoracic vertebrae T10, T11, and T12 with abnormal high signal on T2 and low signal on T1 with heterogeneous enhancement in addition to a large heterogeneous paravertebral multiloculated prevertebral and paraspinal abscess extending from T7 through T12 with a peripheral thick wall that has low T2 and high T1 signal with intense enhancement. These are associated with an epidural collection and retropulsed collapsed T11, which result in complete attenuation of the anterior subarachnoid spaces and compression of the distal cord.
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T10, T11, and T12 (Figure 1). The contrasted magnetic resonance imaging (MRI) of her spine showed kyphotic destruction of thoracic vertebrae T10, T11, and T12 with abnormal high signal on T2 and low signal on T1 in addition to a large heterogeneous multiloculated prevertabral and paraspinal abscess extending from T7 through T12 with a peripheral thick wall that had low T2 and high T1 signal with intense enhancement. These are associated with an epidural collection and retropulsed collapsed T11, which result in complete attenuation of the anterior subarachnoid spaces and compression of the distal cord (Figure 2).
Transverse and sagittal magnetic resonance T1 contrast images of the brain show multiple tuberculomas; each appears as a ring-enhancing lesion with a hypointense center surrounded by a hyperintense area (edema). One lesion is at the left cerebellar hemisphere (a). Other small foci are at the left temporal gyrus (b) and right occipital lobe (c).
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Consequently, MRI of the brain showed multiple brain lesions in the left cerebellar hemisphere, left superior temporal gyrus, and right occipital lobe (Figure 3).