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Clinical Imaging of Microwave Mammography

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Published on: November 14, 2025

Clinics in diagnostic imaging (123).

S B Wong¹, W C Peh, S L Lim

¹Department of Diagnostic Radiology, Alexandra Hospital, Singapore.

Singapore Medical Journal

|August 13, 2008

Summary

Tuberculosis spondylitis, a spinal infection, can cause severe back pain and leg weakness. Early diagnosis through imaging and biopsy is crucial for effective treatment of this spinal condition.

Area of Science:

Medical Imaging
Infectious Diseases
Spinal Disorders

Background:

Spinal infections, or spondylitis, can lead to significant morbidity.
Tuberculosis spondylitis is a major cause of infective spondylitis globally.
Accurate diagnosis relies on integrating clinical, imaging, and pathological findings.

Observation:

A 60-year-old man presented with thoracic pain and lower limb weakness.
Radiographs revealed compression fractures and endplate destruction at T7-T10.
MRI demonstrated vertebral changes, paravertebral masses, and epidural extension causing cord compression.

Findings:

CT-guided biopsy confirmed granulomatous caseous necrosis and acid-fast bacilli.
Diagnosis of tuberculosis spondylitis was established.

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Imaging findings correlated with the pathological diagnosis.

Implications:

Highlights the importance of considering tuberculosis spondylitis in patients with suspected infective spondylitis.
Emphasizes the role of advanced imaging techniques (MRI, CT) in diagnosing spinal infections.
Underscores the necessity of histopathological confirmation for definitive diagnosis and appropriate management.