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FIG 1. Case 1: 49-year-old man with Candida albicans infection. Biopsy was performed of the L2–L3 disk and L3 vertebra.
A, Sagittal T1-weighted (416/19/2 [TR/TE/excitations]) spin-echo image in the midline of the lumbar spine shows minimal hypointensity within the L2, L3, and L4 vertebral bodies (arrows).
B, Corresponding contrast-enhanced sagittal T1-weighted (749/11/2) image shows enhancement of the vertebral bodies and endplates (arrows).
C, Sagittal T2-weighted (3000/102/4) fast spin-echo image with fat saturation shows minimal hyperintensity within the vertebral endplates at the L2, L3, and L4 levels. Isointense signal with preserved intranuclear clefts (arrows) is present in the L2–L3 and L3–L4 disks as compared with the minimally degenerated disks at the L4–L5 and L5–S1 levels.
D, Sagittal T1-weighted (533/11/2) image 10 days after the initial study shows increased hypointense signal in the L2, L3, and L4 vertebral bodies (arrows).
E, Corresponding sagittal T2-weighted (2600/102/2) fast spin-echo image with fat saturation shows only minimally increased hyperintense signal hyperintense signal in the L2, L3, and L4 vertebral bodies (arrows).
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