PMC6778329_01
Initial MRI in January 2018 showing L5/S1 osteodiscitis.
SNI-10-182-g001.jpg
PMC6778329_01_SNI-10-182-g001.jpg
F1
Imaging revealed concerns for L5-S1 osteodiscitis [Figure 1].
MRI at return in March 2018 - Increased height loss of L5 vertebral body with epidural phlegmon resulting in severe L5-S1 foraminal stenosis. An extensive prevertebral phlegmon is abutting the large right common iliac artery and graft.
SNI-10-182-g002.jpg
PMC6778329_01_SNI-10-182-g002.jpg
F2
March 2018 that showed progression of the L5-S1 spondylodiscitis with hypermetabolic activity in the paraspinous region as well as around the right iliac artery aneurysm that directly abutted the paraspinous phlegmon. Magnetic resonance imaging (MRI) showed progression of the spondylodiscitis as well with now mild height loss at L5-S1 [Figure 2].