Figure 3.
MRI examination: a (T2 WI), b (T1WI), resulted: heterogeneous lesion in C4 and C5 with hypersignal in T2 and STIR, and hypo signal in T1. The changes are registered at bone vertebral structures (bone marow edema) and intervertebral disc (increased amount of water), c (T1WI post contrast) After contrast administration, apart from diffuse pathologic enhancement of affected structures, there was another marginal form of enhancement that surrounds the water contained part of the intervertebral disc (highly suggestive for spondylodyscitis). The similar changes were discovered in other levels of spine – the thoracic vertebras (Th4-Th5).