MRI images of patients are shown with various findings-
Fig 1.
T2 sagittal section of the lumbosacral spine shows lesion at the level of L3 and L4 vertebral level.
The image shows paradiscal involvement with irregularity at the inferior endplate of L3 ,superior endplate of L4 vertebra and reduction of intervertebral disc space.
Fig. 1: MRI image of Lumbar spine
References: Kartikey Tyagi
Fig 2 and 3.T2 and TI weighted sagittal section of spine
The image shows T2 weighted hyperintense and T1 weighted hypointense collection noted at L3-4 level,
involving the inferior endplate of L3 and superior endplate of L4,The collection is also seen extending anteriorly in the subligamentous region at L2-L5 vertebral body levels and posteriorly at L3-4 level
Fig. 2: T2 WEIGHTED SAGITTAL SECTION OF SPINE
References: Kartikey Tyagi
Fig. 3: T1 WEIGHTED SAGITTAL SECTION OF SPINE
References: Kartikey Tyagi
Fig 4.STIR sequence of spine showing hyperintense collection anterior to the vertebra at L3 and L4 levels.
Fig. 4: STIR SEQUENCE OF SPINE,SAGITTAL SECTION
References: Kartikey Tyagi
FIG 5.Axial section of spine T2 weighted sequence showing thecal sac compression with bilateral foraminal stenosis and compression of bilateral exiting nerve roots [left > right].Intervertebral disc space appears reduced at this level.Spinal canal stenoses noted.
Fig. 5: AXIAL SECTION OF SPINE T2 WEIGHTED SEQUENCE
References: Kartikey Tyagi
FIG 6.Post contrast T1W coronal view of spine shows-
Peripherally enhancing hyperintense area involving bilateral psoas muscle at L5-S1 level .
The image shows collections at the described level which indicate psoas abscess.
Fig. 6: POST CONTRAST CORONAL VIEW OF SPINE
References: Kartikey Tyagi
FIG.
7 and 8 demonstrate myelogram of spine which shows Myelocutoff at L4-L5 vertebral level and L5-S1 vertebral level,indicating narrowing of spinal canal at that level due to involvemrnt of the lesion posteriorly.
Fig. 7: MYELOGRAM OF SPINE SAGITTAL VIEW
References: Kartikey Tyagi
Fig. 8: MYLEOGRAM OF SPINE CORONAL VIEW
References: Kartikey Tyagi
FIG.9 and 10 Shows ill defined areas of STIR heterointensity involving the lower half of L4 vertebral body and upper half of L5 vertebral body.
On post contrast images ,
there is heterogenous enhancement.
Vertebral end plate shows surface irregularity/erosions.
Minimal heterogenous enhancing collection noted in the anterior subligamentous space.
Fig. 9: POST CONTRAST SAGITTAL VIEW OF SPINE
References: Kartikey Tyagi
Fig. 10: STIR SEQUENCE OF SPINE
References: Kartikey Tyagi
FIG.11 shows thecal sac indentation,
bilateral foraminal narrowing (right > left) and impingement exiting nerve roots.
Fig. 11: T2 WEIGHTED AXIAL SECTION OF SPINE
References: Kartikey Tyagi
FIG.12 and 13 shows T1 and T2 weighted sequence of the spine sagittal view.The figures shows collapsed T12 vertebra forming a gibbus deformity
Fig. 12: T2 WEIGHTED SEQUENCE OF SPINE SAGITTAL VIEW
References: Kartikey Tyagi
Fig. 13: TI WEIGHTED SEQUENCE OF SPINE SAGITTAL VIEW
References: Kartikey Tyagi
FIG.14 shows TIRM sequence coronal view of spine which shows the lesion causing with collapsed vertebrae and scoliotic deformity of the spine
Fig. 14
References: Kartikey Tyagi
FIG.20 T2 Weighted sagittal section of the spine shows lesion involving the posterior part of the vertebare
Fig. 19
References: Kartikey Tyagi