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Dr. Neni Irianty, SpRad

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IntroductionLow back pain (LBP) with or withoutradiculopathy is one of the most common healthproblems. Acute low back pain.

Lumbosacral pain of less than 6-weeks duration or without progressive or disabling symptoms.Most low back pain is triggered by somecombination of overuse, muscle strain, and injuryto the muscles, ligaments, and discs that supportthe spine.

http://www.webmd.com/hw-popup/low-back-painhttp://www.webmd.com/hw-popup/low-back-pain

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Possible condition Findings from medical historyFracture Major trauma (motor vehicle accident, fall

from height) , Minor trauma in older or osteoporotic

patientTumor or infection Age >50 years or

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grade 1 spondylolisthesis . The arrowmarks a fracture through the parsinterarticularis.

SPONDYLOLISTHESIS 1 GRADE 1

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DEGENERATIVECHANGES

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SKOLIOSIS

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Ankylosing spondylitis kompressi

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Spondylitis TB

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Complit BurstFracture

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Tuberculous spondylitis Calcified psoas abscess

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tn.X, 25 thSPONDYLITIS TB

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spinal canal stenosis

http://www.emedicine.com/radio/images/336139-344171-3894.jpghttp://www.emedicine.com/radio/images/336139-344171-3828.jpg

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kompressi

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LUMBAR HERNIATED DISC

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Tuberculosis Involving the Central

Nervous Systemresult of hematogenous spreadtwo related pathologic processes: tuberculous

meningitis

and intracranial tuberculomas.Meningeal involvement is iso- or hyperattenuatingrelative to the basal cisterns at unenhanced CT anddemonstrates intense, often homogeneous

enhancement after contrast material administration

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Sequelae of meningeal involvement includehydrocephalus and infarcts in the middlecerebral artery.MR imaging findings vary depending on thestage of the diseaseIn the early stages, findings at unenhanced spin-echo imaging may be normal. In later stages,there is distention of the affected subarachnoidspaces.Gadolinium-enhanced T1-weighted imagingdemonstrates abnormal meningeal enhancementthat is more pronounced in the basal cisterns

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The differential diagnosis for tuberculous meningitisincludes other infectious agents (nontuberculousbacteria, viruses, fungi, parasites), noninfectiousinflammatory disease affecting the leptomeninges(rheumatoid disease, sarcoidosis), and primary orsecondary neoplastic involvement of meningealsurfaces (meningiomatosis, neoplastic meningitisfrom a peripheral tumor source, cerebrospinal fluidseeding from a primary tumor of the central nervoussystem).

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Cranial tuberculomasCranial tuberculous meningitis.

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Meningoencephalitis TB

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Solid caseating tuberculous granulomasinvolving the cerebellum. Axial T2-weighted

Tuberculous granulomas involving thecerebellum. Axial T1-weighted