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 dorso-lumbar 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 .

Axial contrast CT sections of abdomen showing diffuse omental thickening with few small nodules .

Peritoneal TB

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 ileo-caecal junction with multiple necrotic mesentric lymph nodes ( white arrow)

TB RIGHT TUBOOVARIAN ABSCESS

Axial contrast CT sections of pelvis showing right Tubo-ovarian 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.

Coronal and sagittal plain CT images of pelvis showing thick chunky linear endometrial calcification suggestive of tubercular sequelae

Endometrial tuberculosis

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 fistula- bronchopleural 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