CTICasesDisseminated coccidioidomycosis with vertebral osteomyelitis and epidural abscess
Imaging findings
CT scan of a 31-year-old male shows right upper lobe consolidation and a large paravertebral abscess extending into the mediastinum, associated with T-spine vertebral destruction, compression fracture, and epidural extension.
Key takeaways
Coccidioidomycosis can disseminate to the skeletal system, causing osteomyelitis, discitis, and paraspinal/epidural abscesses. Direct extension from the lung into the spine or mediastinum can mimic aggressive malignancies.
AI-assisted summary — may contain errors. Verify against the source video. Learn more
More from this webinar
- Chest wall chondrosarcomaNeoplastic
- Transient phrenic nerve palsy secondary to brachial plexus blockIatrogenic
- Primary endobronchial diffuse large B-cell lymphomaNeoplastic
- Primary pulmonary MALT lymphomaNeoplastic
- Pulmonary vascular telangiectasias in sickle cell diseaseCongenital
- Tetralogy of Fallot with pulmonary atresia and MAPCAsCongenital
- Large mediastinal thymic cystCongenital
- Mature mediastinal teratomaNeoplastic
See all cases from September 26, 2019 →
Related Infection cases
- Viral bronchiolitis (Influenza B)
- Round pneumonia caused by Legionella mcdadei
- Disseminated coccidioidomycosis in a renal transplant recipient
- Tricuspid valve endocarditis with septic emboli
- Pulmonary Nocardiosis in a post-transplant patient
- Pneumocystis jirovecii pneumonia (PJP) with a geographic crazy paving pattern