Bone Pathology Database

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2nd image
Lateral X ray
Third image
4th image
MRI with Gd enhancement
The lateral X ray above shows loss of joint space between L1 and L2 vertebrae. The MRI images show that the joint space is predominantly affected. The lower MRI has Gadolinium enhancement which shows up the soft tissue swelling in the psoas muscles (Left more than right.). The ESR was only 25 mm/hr probably due to the fact this patient was immunologically compromised due to AIDS.
In South Africa a high proportion of tuberculosis sufferers are HIV positive. A psoas abscess often results if the TB is in the thoracolumbar spine. In advanced cases it may present as a "cold abscess" in the groin after the TB pus tracts down this muscle to it's insertion at the lesser tuberosity of the femur.

Record 107