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A 35-year-old woman with neck pain and a sense of heat in both shoulders for 6 months. A, Sagittal T2-weighted MR image shows low signal change with upper endplate destruction at the C6 upper body. Percutaneous biopsy was performed at the C6 upper body with a right unilateral anterior approach under fluoroscopic guidance, which is seen on anteroposterior (B) and lateral (C) spot radiographs. Biopsy was confirmed as chronic osteomyelitis, but the causative organism was not isolated.
