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Spine MRI of a patient who received a contaminated epidural injection of methylprednisolone

Spine MRI of a patient who received a contaminated epidural injection of methylprednisolone

(A) Sagittal T1 post-gadolinium image showing dural and leptomeningeal enhancement at L5/S1.

(B) Sagittal post-gadolinium image showing dural and leptomeningeal contrast enhancement.

(C, D) Axial post-gadolinium T1 images that correlate with images A and B, respectively, and show dural and nerve root enhancement (post-contrast).

MRI: magnetic resonance imaging.
From Annals of Internal Medicine, Kerkering TM, Grifasi ML, Baffoe-Bonnie AW, et al. Early Clinical Observations in Prospectively Followed Patients With Fungal Meningitis Related to Contaminated Epidural Steroid Injections. Ann Intern Med 2013; 158(3):154-61. Copyright © 2012 American College of Physicians. All Rights Reserved. Reprinted with the permission of American College of Physicians, Inc.
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