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TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS See Full Case Presentation

TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
58-year-old male with known history of tuberculosis. 
CT of the kidney shows replacement of the upper pole of the right kidney with focal hydronephrosis caused by infundibular stenosis and atrophy of the remainder of the right kidney.
There is enlargement of the bilateral adrenal glands, with multiple nodular structures encompassing the left adrenal gland, which may also represent infectious process.
Examination of the lumbar spine on the CT scan shows findings consistent with TB osteomyelitis with destruction of T12 and L1 vertebral bodies with prevertebral and epidural collections extending into the spinal canal.
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
Contributed by Christina LeBedis MD See Full Case Presentation
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
Contributed by Christina LeBedis MD See Full Case Presentation
PSOAS ABSCESS TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL 
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
Contributed by Christina LeBedis MD See Full Case Presentation
PSOAS ABSCESS TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL 
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
Contributed by Christina LeBedis MD See Full Case Presentation
ASPIRATION OF THE PSOAS
The left psoas muscle shows peripherally enhancing communicating retroperitoneal and epidural fluid collection as well as multiple peripherally enhancing left psoas fluid collections.
Aspiration of the psoas muscle was performed
Contributed by Christina LeBedis MD See Full Case Presentation
MRI PSOAS T1 – PRE GAD
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD See Full Case Presentation
MRI PSOAS T1 – POST GAD
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD  See Full Case Presentation
MRI PSOAS T2
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD  See Full Case Presentation
MRI PSOAS T1
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD See Full Case Presentation
MRI PSOAS T2
TB KIDNEY, SPINE, EPIDURAL ABSCESS, ADRENAL and PSOAS ABSCESS
The MRI confirms the presence of an osteomyelitis discitis associated with an epidural abscess with multiple collections in the left psoas muscle
Contributed by Christina LeBedis MD See Full Case Presentation