Kyungmin Huh, M.D., Samsung Medical Center, Korea
Abdomen enhanced CT revealed soft tissue thickening with fluid collection in the paravertebral spaces of L3-S3 and L5-S1 spines. Multifocal decrease of perfusion in bilateral kidney was noted. In spine MRI, signal change and abnormal enhancement was noticed in the vertebral bodies of C3-4, T4-6, T8-9, and L3-4 spines. Extension of enhancement with air bubble along the paravertebral and epidural space around L3-4 and T5 spines suggested the formation of epidural abscesses. A small abscess was also seen in the left psoas muscle.
Pathologic finding Bone biopsy of the vertebral body of the L4 spine showed granulomatous necrotizing inflammation
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