Indian J Med Microbiol Close
 

Figure 1: MRI thoracic spine showing HSP and Arteritis. Sagittal and axial T2 weighted (a and b) images of the thoracic spine show diffuse smooth thickening of the anterior and left lateral aspect of the dura (arrowheads in a and b) causing canal stenosis with cord congestion (white arrow in a). The dura is hypointense on T2 and shows homogeneous enhancement on post contrast images (arrowheads in d and e) at T1-T4 levels. Axial T2 weighted (b and c) images at thoracic and upper lumbar levels show concentric wall thickening of the aortic arch (curved arrow in b) and abdominal aorta (white arrow in c). Post-contrast images (e) show enhancement of the aortic arch, suggestive of active aortitis (curved arrow in e). Post-surgical follow-up images (f and g) Axial T2 weighted images of the thoracic spine show complete resolution of dural thickening (arrowhead in g) and significant decrease in aortic wall thickening. (white arrows in f and g)

Figure 1: MRI thoracic spine showing HSP and Arteritis. Sagittal and axial T2 weighted (a and b) images of the thoracic spine show diffuse smooth thickening of the anterior and left lateral aspect of the dura (arrowheads in a and b) causing canal stenosis with cord congestion (white arrow in a). The dura is hypointense on T2 and shows homogeneous enhancement on post contrast images (arrowheads in d and e) at T1-T4 levels. Axial T2 weighted (b and c) images at thoracic and upper lumbar levels show concentric wall thickening of the aortic arch (curved arrow in b) and abdominal aorta (white arrow in c). Post-contrast images (e) show enhancement of the aortic arch, suggestive of active aortitis (curved arrow in e). Post-surgical follow-up images (f and g) Axial T2 weighted images of the thoracic spine show complete resolution of dural thickening (arrowhead in g) and significant decrease in aortic wall thickening. (white arrows in f and g)