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Spondylodiscitis

Findings:
Abnormal bone marrow signal is seen at the T6/7 levels vertebral body displaying T1 hypo- and T2 hyperintense signals. This is associated with irregular opposing endplates and complete destruction of the intervertebral disc at T6/7. Mild paravertebral inflammatory stranding without subligamentous or paraspinal collections. No abscess formation.
Mild kyphotic deformity and indentation of the spinal cord at T6 – T7 level without cord compression or myelopathy.

Small left paracentral disc protrusion is seen at T7/8 without relevant stenosis or nerve root impingement.

Loss of physiological cervical lordosis. Multilevel disc degeneration and bulging is seen in the cervical spine without significant central canal stenosis.

No pleural effusion or significant soft tissue abnormality.

Conclusion:
Known spondylodiscitis at T6/7 with consequential partial collapse of the vertebral bodies and destruction of the intervertebral disc. Currently no paravertebral or epidural collection.

Updated on 1. May 2023

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About the author

Dr Sara Mohebbi is a Consultant Radiologist (Facharzt für Radiologie) with sub-specialty training in neuroradiology. She served as Chief Resident at University Hospital Freiburg and is a member of the European Society of Radiology (ESR). Her clinical focus includes demyelinating disease, neuro-oncology, and vascular neuroimaging. Dr Mohebbi is the Clinical Lead at Radiology Prime, where she provides independent second opinion reports on brain and spine MRI.