Lateral radiograph of the spine shows anterior wedging of the T12 vertebral body and loss of height of the T12-L1 intervertebral disk space. Axial CT through T12 shows destruction of the vertebral body anteriorly and an associated paraspinal abscess forming between the aorta and the vertebral body. Sagittal T2 MRI (left), T1 MRI without contrast (middle) and T1 MRI with contrast (right) demonstrate more clearly the irregular contour of the inferior endplate of T12, the loss of height of the T12-L1 intervertebral disk space, and the loss of the normal bright signal within that disk space on T2 weighted-imaging.
Pediatric Imaging 