PMC3389959_01
Hepatomegaly (A) associated with a shrunken, completely calcified spleen (B).
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Findings in computed tomography examination of the chest and abdomen indicated a systemic disease: hepatomegaly, small, calcified spleen and disseminated bone lesions (Figure 1).
Diffuse osteosclerotic changes in the axial skeleton with an H-shaped deformity of several vertebral bodies (arrows) (A). Flattening of the left femoral head secondary to avascular necrosis (B).
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Left femoral head was notably flattened with accompanying osteoarthritis of the hip joint (Figure 2).
Spondylodiscitis: reduction of the intervertebral space at the level of Th9-Th10, destructive changes in the anterior part of the Th10 vertebral body and a paraspinal abscess anteriorly (arrows) (A). Inflammatory changes are complicated with pathologic fractures of the Th9 and Th10 vertebral bodies (B,C).
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Th10 and Th11 vertebral bodies with atypical, sagittal course of fracture fissures. There was a large fluid collection in the perivertebral space anteriorly to Th9-Th12 vertebral bodies (Figure 3).
Pulmonary complications. Right lower lobe consolidation (A). Right-sided pyothorax (P) and paraspinal abscess (A) (B).
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Within the thoracic cavity, findings included consolidation in the lower lobe of the right lung and encapsulated fluid collections in the right pleural cavity (Figure 4).