C6C7 Discitis Osteomyelitis, radiograph
Claim CME CreditPOINT OF CARE INFORMATION
This CME activity consists of the student reviewing the video of the professor reviewing the case as well as the associated DICOM image set related to the case in question.
Learning Objectives
As a result of participation in this activity, participants should be able to:
- Provide improved patient care.
- Greater knowledge of the imaging characteristics of the patient's disease.
- Understand a better approach to interpretation of studies.
Faculty Disclosure
Mehmet Albayram, MD, Ivan Davis, MD, Mariam Hanna, MD, Anthony Mancuso, MD, Ronald Quisling, MD, Dhanashree Rajderkar, MD, Priya Sharma, MD, Roberta Slater, MD and Joann Stamm, MBA have disclosed that they have no relevant financial relationships. No one else is a position to control content have any financial relationship to disclose.
CME Advisory Committee Disclosure:
Conflict of interest information for the CME Advisory Committee members can be found on the following website: https://cme.ufl.edu/disclosure/.
Continuing Medical Education Credit
Accreditation: The University of Florida College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit: The University of Florida College of Medicine designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CA0988-C6C7 Discitis Osteomyelitis, radiograph
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CA0988-C6C7 Discitis Osteomyelitis, radiograph
Case ReportHistory
Exam
Prior Study
Findings
Technique
The cranio-cervical junction and C7-T1 are included on the exam.
The exam is not limited by technique.
Prevertebral and paravertebral soft tissues
There is prevertebral soft tissue swelling at C6-C7.
Spinal alignment
Spinal alignment is normal. There is no subluxation.
Vertebral bodies, posterior elements, and base of skull
There is a destructive abnormality at C6-C7 with erosion of the end plates and loss of the disc space highly suspicious for discitis/osteomyelitis. The remaining vertebral bodies and disc spaces are normal.
There is no focal or diffuse abnormal mineralization except for the changes at C6-C7.
Disc spaces and facet joints
There is disc space narrowing with erosive changes of the end plates and contiguous vertebral bodies at C6-C7 highly suspicious for discitis/osteomyelitis. The facet joints are not involved.
Additional soft tissues and bones (neck, airway, upper thorax, ribs)
The airway is displaced anteriorly and to the left likely from asymmetric prevertebral soft tissue swelling.
The included maxillofacial region and upper thorax are normal. The lung apices are normal.
Other findings
There are no degenerative changes or other existing conditions that might be contributing to symptoms which can or should be further evaluated non-emergently.
