Noncontiguous Multifocal Spondylodiscitis in 3 Regions of the Spine

Figure 1

MRI showing the cervical, thoracic, and lumbar spine. (a, b) At the cervical spine, loss of the lordotic angle is demonstrated; destruction of the 6th cervical vertebrae is noted. In C3-C4, there is a collapse of the disc with changes in the signal intensity of the vertebral endplates, which are hyperintense in STIR T2 and isointense in T1 as well as an epidural abscess of  mm and encompasses the entire topography of C3 and C4, displacing and compressing the spinal cord. (c, d) At the level of the T12 and L1 vertebral bodies, respectively, in their lower and upper endplates, there is an erosive lesion of  mm involving the intervertebral disc, hyperintense on T2, and hypointense on T1, presenting wall enhancement following contrast. (e) The morphology and height of vertebral bodies T6 and T7 presented morphology alterations due to the destruction of the lower and upper vertebral endplates, respectively, associated with an expansive mass including the intervertebral disc, noted as hypointense on T1 and enhanced on T1 FatSat with gadolinium, and these changes are also observed in the epidural space, surrounding the spinal cord.

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