001K TB of the Kidney Spine Adrenals Psoas

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS

Contributed By Christine LeBedis MD

58-year-old male with known history of tuberculosis. The CXR is normal with no active nor evidence of chronic granulomatous disease

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
58-year-old male with known history of tuberculosis. The CXR is normal with no active nor evidence of chronic granulomatous disease
Contributed by Christina LeBedis MD

The X-ray of the lumbar spine shows a compression injury of the L1 vertebral body with compression of the superior endplate

CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.

THE RIGHT KIDNEY

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
58-year-old male with known history of tuberculosis.
The X ray of the lumbar spine shows a compression injury of the L1 vertebral body with compression of the superior endplate
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
Contributed by Christina LeBedis MD

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TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
58-year-old male with known history of tuberculosis.
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
Contributed by Christina LeBedis MD

TB KIDNEY,
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
Contributed by Christina LeBedis MD

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
Contributed by Christina LeBedis MD

CASEOUS NECROSIS, TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
Contributed by Christina LeBedis MD

CASEOUS NECROSIS, and PSOAS ABSCESS
Contributed by Christina LeBedis MD

ADRENALS

There is enlargement of the bilateral adrenal glands, with multiple nodular structures encompassing the left adrenal gland, which may also represent infectious process.

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
There is enlargement of the bilateral adrenal glands, with multiple nodular structures encompassing the left adrenal gland, which may also represent infectious process.
Contributed by Christina LeBedis MD

TB ADRENALS
There is enlargement of the bilateral adrenal glands, with multiple nodular structures encompassing the left adrenal gland, which may also represent infectious process.
Contributed by Christina LeBedis MD

TB ADRENALS
58-year-old male with known history of tuberculosis. The CXR is normal with no active nor evidence of chronic granulomatous disease
There is enlargement of the bilateral adrenal glands, with multiple nodular structures encompassing the left adrenal gland, which may also represent infectious process.
Contributed by Christina LeBedis MD

Examination of the lumbar spine on the CT scan shows findings consistent with TB osteomyelitis with destruction of T12 and L1 vertebral bodies with prevertebral and epidural collections extending into the spinal canal.
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed

L1 DESTRUCTION TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
Examination of the lumbar spine on the CT scan shows findings consistent with TB osteomyelitis with destruction of T12 and L1 vertebral bodies with prevertebral and epidural collections extending into the spinal canal.
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD

T12 – L1 OSTEOMYELITIS WITH BONE DESTRUCTION –
Examination of the lumbar spine on the CT scan shows findings consistent with TB osteomyelitis with destruction of T12 and L1 vertebral bodies with prevertebral and epidural collections extending into the spinal canal.
Contributed by Christina LeBedis MD

T12 – L1 OSTEOMYELITIS WITH BONE DESTRUCTION –
Contributed by Christina LeBedis MD

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SPREAD OF THE INFECTION FROM T12-L1 TO THE PSOAS MUSCLE

The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed