history of fall with tuberculous spondylitis

2. CASE STUDY
Dr. Muhammad Umar Tauqir
MCPS Trainee
Al.Noor Diagnostics

3. • A man 38 years old presented in Al.Noor
diagnostics on 14th Jan 2014 with history of fall 3-
4 moths back. He has severe back pain radiating
to the leg. Patient also experienced difficulty in
standing from sitting position.
• There is history of intermittent fever for last 3-4
months.
• Patient is not diabetic or hypertensive
• There is positive family history of tuberculosis as
well

4. • He was advised MRI scan of L/S spine

11. • MRI reporting of patient reveals that patient Is
suffering from tuberculous spondylitis with
Psoas abscess

12. • Potts disease is also known as tuberculous
spondylitis usually secondary to extra spinal
source of infection. It usually occurs as
combination of osteomylitis and arthritis that
usually involves more than one vertebrae. The
anterior aspect of vertebral body adjacent to
the subchondral plate is usally affected.
Progressive bone destruction leads to
vertebral collapse and kyphosis as well

13. • T1 weighted images demonstrates difference
in t1 relaxation time of tissues
• A t1 weighted image relies upon the
longitudnal relaxation of the tissue net
magnetization vector
• E.g fat quikly allign itself on t1 weighted image
and therefore it appears bright

14. • T2 weighted images relies upon the tranverse
relaxation of net magnetization vector
• The amount of t2 decay a tissue experience
depend on multiple factors. Each tissue has its
own inherent t2 value but external factor such
as magnetic field inhomogenity canincrease
the t2 relaxation of tissues as well