Diagnosing Spinal Gout: A Rare Case of Back Pain and Fever

Figure 1

(a) T2 weighted axial image at L5-S1 level; (b) T2 weighted sagittal image. There is moderate diffuse circumferential disc bulging, severe right facet arthropathy, marked inflammatory changes involving the right facet joint at L5-S1, and significant edema in the posterior right paraspinous musculature near the lumbosacral junction.

(a)

(b)