PMC6171215_01
T1- and T2-weighted sagittal images of the lumbar spine revealing no acute processes. This study is from the initial workup in the emergency dept.
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fig1
Evaluation in the ER, which included a hip X-ray and MRI of the lumbar spine (seen in Figure 1), revealed only mild lumbar facet arthropathy and moderate left neural foraminal stenosis at L3-L4 without any concomitant hip or spine fracture.
CT imaging of lumbar spine approximately 5 weeks after initial fall. Evidence of significant discitis and end plate destruction at L5/S1 level.
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fig2
A CT scan (Figure 2) and subsequent MRI of the lumbar spine (Figure 3) were conducted which revealed extensive findings of discitis/osteomyelitis at L5-S1 as well as an epidural abscess resulting in severe narrowing of the central spinal canal.
Post-T1- and T2-weighted MRI of lumbar spine upon hospital admission. Confirmed suspected discitis, osteomyelitis with end plate destruction, and epidural abscess seen on CT.
CRIOR2018-1091932.003.jpg
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fig3
A CT scan (Figure 2) and subsequent MRI of the lumbar spine (Figure 3) were conducted which revealed extensive findings of discitis/osteomyelitis at L5-S1 as well as an epidural abscess resulting in severe narrowing of the central spinal canal.