Transcript Ankle TB - Stanley Radiology

SPECTRUM OF IMAGING
FINDINGS IN TUBERCULOSIS:
HEAD TO TOE
IRIA Abstract ID no - 1110
Spinal TB
Sagittal STIR and axial T2 weighted MR image of dorsal spine showing complete collapse of
D7 vertebral body with associated pre , bilateral paravertebral and epidural soft tissue . The
intervening D6-D7 intervertebral disc also shows hyper intensity with minimal marrow edema
lower D6 vertebral body . Posterior arch elements appear normal .
Cold Abscess
Axial & coronal STIR MR images of
lumbar spine showing cold abscess in left
upper anterolateral abdomen, left gluteal
region and associated spinal involvement
with bilateral para vertebral abcess
formation in lumbar spine
TB MYELITIS WITH EPIDURAL ABSCESS
Sagittal post contrast images of
cervico-dorsal spine showing diffuse
enhancement of the dura with
posterior epidural collection and T2
hyperintensity of dorsal spinal cord
Multiple Brain & spinal cord Tuberculomas
Axial post contrast MR
images of brain and
sagittal post contrast
MR images of whole
spine showing multiple
ring enchancing lesions
in both cerebral and
cerebellar hemisphere ,
within brainstem and
intramedullary location
of cervical and dorsolumbar spinal cord .
Associated
enhancement of
meninges noted anterior
to brainstem and dura
along the spinal cord
Solitary Tuberculoma
Sagittal T1 , Coronal FLAIR & Axial T1 post contrast MR images with MR
spectroscopy showing thick ring enhancing lesion in right parietal lobe with
surrounding edema and lipid lactate peak
NECROTIC TUBERCULAR CERVICAL LYMPHADENOPATHY
Axial contrast Ct
sections of neck
showing necrotic
lymph nodes with
peripheral
enhancement in
bilateral posterior
triangle of neck.
MILIARY TUBERCULOSIS
Chest x-ray PA view showing multiple miliary nodules in both lungs
PULMONARY TUBERCULOSIS
Axial CT chest Lung window sections showing multiple large
nodules along the bronchi in right upper and middle lobe and in
lingula with a large cavity in superior segment of left lower lobe
ASPERGILLOMA
Axial CT chest Lung window sections showing a large empty cavity
in left upper lobe and a cavity filled with fungal ball in right upper
lobe
Abdominal tuberculosis with necrotic portal,
peripancreatic nodes and splenic granulomas
Axial contrast CT sections of abdomen showing multiple
necrotic portal , peri-portal lymphadenopathy and multiple
splenic granulomas .
Peritoneal TB
Axial contrast CT sections of abdomen showing diffuse omental
thickening with few small nodules .
ILEOCAECAL TUBERCULOSIS WITH NECROTIC MESENTERIC LYMPHNODES
Coronal and Axial CT
enteroclysis image
showing thickening of
ileo-caecal junction with
proximal dilatation of
terminal ileum
Coronal and Axial
CT enteroclysis
image showing
concentric mural
thickening of
terminal, distal
ileum and ileocaecal junction
with multiple
necrotic mesentric
lymph nodes (
white arrow)
TB RIGHT TUBOOVARIAN ABSCESS
Axial contrast CT sections of pelvis showing right Tuboovarian abscess.
Renal TB
Coronal and Axial plain CT sections of abdomen showing small
left kidney with lobar calcification of upper pole and few calcific
areas in mid and lower pole.
Calcified lymphnodes-Tubercular
Axial plain CT sections of
thorax showing multiple
calcified lymph nodes in
mediastinum , lower neck
and upper abdomen.
TB Pericardial effusion
Coronal T1 and Axial T2 W
images showing massive
pericardial effusion with
fibrinous exudates.
Endometrial tuberculosis
Coronal and sagittal plain CT images of pelvis showing
thick chunky linear endometrial calcification suggestive of
tubercular sequelae
Chronic tubercular empyema
Axial plain CT section of thorax showing chronic empyema
with calcification right hemithorax with crowding of ribs and
extra pleural fat pad proliferation
TB SPLENIC ABSCESS
Axial and coronal contrast CT abdomen sections showing a large
abscess within the spleen .
Ankle TB
Sagittal PDFS and T1W MR image of ankle showing bony
destruction of tarsal bones with erosions and fluid collections
with synovial thickening and subchondral fluid collection in
tibia
Double fistula- bronchopleural and pleurocutaneous-post tubercular
sequelae
Axial and coronal CT sections
showing Double fistulabronchopleural and
pleurocutaneous on the left
side (black arrows)
Knee joint TB
Sagittal and axial PDFS images showing synovial thickening
with associated large soft tissue mass within knee joint
showing heterogenous signal intensity with large bony
erosions and loculated collections
TB TENOSYNOVITIS ECU TENDON
Sagittal and Axial STIR images of Wrist showing soft tissue
thickening around extensor carpi ulnaris tendon suggestive of
tenosynovitis .
Wrist TB
Coronal and axial PDFS and
axial T1W MR images
showing diffuse altered signal
intensity of carpal bones with
associated soft tissue and
synovial thickening.
Thank You