PMC9583169_01
MR images of the cervical spine from patient #1. (A,B) T2W sagittal and T2W transverse (at the level of the C6-C7 intervertebral disc space). (C) T1W sagittal pre-contrast. (D) T1W sagittal post-contrast.
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F1
T1W mixed hypo-iso-intensity, and T1W post-contrast enhancement of the endplates of the caudal C6 and cranial C7 vertebral bodies with irregularity in the structure of the dorsal aspects of the endplates and the corresponding intervertebral disc (Figure 1). These findings were consistent with discospondylitis of the C6-C7 intervertebral disc space and associated vertebral bodies. The brain appeared unremarkable.
Radiographs from of the cervical, thoracolumbar, and lumbosacral spine, and CT of the lumbosacral spine (top to bottom) from patient #3.
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F2
Following patient #3's examination, radiographs of the cervical, lumbar, and thoracic spine were performed and revealed lysis of the vertebral endplates of C3-C4, T12-T13, and L7-S1, consistent with discospondylitis (Figure 2). The CT scan showed lysis and irregularity within the vertebral endplates at L7-S1, further supporting the diagnosis of discospondylitis (Figure 2).