1. Vertebral osteomyelitis and psoas abscesses
Vertebral osteomyelitis and psoas abscesses.
A. A lateral lumbar spine radiograph demonstrates destruction and collapse of the anterior-superior aspect of the L3 vertebral body. There is L2-L3 disc space narrowing. The paraspinal soft tissue is prominent. B. A contrast-enhanced CT image at the level of the vertebral defect shows large bilateral psoas abscesses.
A. A sagittal STIR image of a 12-year-old child shows extensive sacral hyperintensity (arrow) due to inflammatory edema. The signal abnormality extends into the adjacent soft tissues. The S1-S2 disc serves as a barrier to spread of the infection. B. CT 2 weeks later shows permeative destruction of the sacrum (arrow), as well as reactive sclerosis.
3. Vertebral osteomyelitis and psoas cellulitis
Vertebral osteomyelitis and psoas cellulitis.
A. A coronal T1-weighted MR image shows hypointensity of the L3 marrow. There is a defect in the right lateral cortex (arrow). The right psoas muscle is enlarged. B. Edema results in hyperintensity in the L3 marrow and in the right psoas muscle on this STIR image.
4. Vertebral osteomyelitis
A, B. Coronal and sagittal single-photon emission computed tomography (SPECT) bone scintigraphy images show abnormal increased uptake in the body on L5.
A lateral radiograph of a 2-year-old child with a 14-day history of mild back pain shows narrowing of the L2-L3 disc space. The vertebral bodies are normal in appearance.
A lateral radiograph of a 7-year-old male with 6 weeks of back pain demonstrates L3-L4 disc space narrowing, minimal endplate sclerosis, and an erosion in the L4 endplate.
A sagittal CT image shows disc space narrowing at C3-C4 (arrow). The endplates are slightly irregular and there is an erosion in the anterior aspect of C4. The anterior paravertebral soft tissue is prominent. There is subtle thickening of the epidural soft tissue.
There is abnormal increased uptake in 2 adjacent lumbar vertebrae (arrows) on this ...
Log In to View MoreYour institution's subscription does not include access to this resource. If you have an individual subscription to this resource, please sign in below. Otherwise, contact your librarian to request access for your institution or view individual subscription options below.
Want remote access to your institution's subscription?
Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.
Create a Free MyAccess Profile
Note: If you have registered for a MyAccess profile on any of the Access sites, you can use the same MyAccess login credentials across all sites.
Benefits of a MyAccess Profile:
- Remote access to the site off-campus on any device
- Notification of new content via custom alerts
- Bookmark your favorite content such as chapters, figures, tables, videos, cases and more
- Save and download images to PowerPoint
- Self-Assessment quizzes saved for quick review
- Custom Curriculum access for both instructors and learners
AccessPediatrics Full Site: One-Year Subscription
Connect to the full suite of AccessPediatrics content and resources including 20+ textbooks such as Rudolph’s Pediatrics and The Pediatric Practice series, high-quality procedural videos, images, and animations, interactive board review, an integrated pediatric drug database, and more.
Pay Per View: Timed Access to all of AccessPediatrics
24 Hour Subscription $34.95
48 Hour Subscription $54.95
Pop-up div Successfully Displayed
This div only appears when the trigger link is hovered over.
Otherwise it is hidden from view.