A 36-year-old Taiwanese female presented with a six-month history of upper-back pain. Blood tests, including an inflammatory profile, were within normal limits. Plain film of a spinal X-ray disclosed a destructive lesion of the twelfth thoracic spine. Consistent with these findings, magnetic resonance imaging (MRI) of the spine revealed a bilateral paravertebral abscess (Figure 1, arrowheads), as well as severe spondylodiscitis with destruction of the vertebrae of the twelfth thoracic spine (Figure 1, arrow).
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