case_images: PMC10875402_01
case_images: Pre-operative MRI Scan of Lumbar Spine, with Arrows Denoting L3/4 Disc Herniation. Pre-operative MRI demonstrating multilevel spondylosis and a focal disc herniation at L3-4.
case_images: cureus-0016-00000052620-i01.jpg
case_images: PMC10875402_01_cureus-0016-00000052620-i01.jpg
case_images: FIG1
case_images: Initial imaging demonstrated multilevel spondylosis and a focal disc herniation at L3-4 (Figure 1).
case_images: Lumbar XR and MRI with Arrows Denoting Psoas Abscess. Imaging obtained after decompression and subsequent washout procedure, demonstrating psoas abscess. Demonstrates (A) neutral and (B) extension lumbar XR, (C) lateral + (D) AP lumbar CT, and (E) lateral + (F) AP MR imaging w/o contrast.. XR = x-ray, AP = anterior-posterior, MR = magnetic resonance
case_images: cureus-0016-00000052620-i02.jpg
case_images: PMC10875402_01_cureus-0016-00000052620-i02.jpg
case_images: FIG2
case_images: Subsequent aspiration of the abscess seven weeks post-operation grew S. epidermidis (Figure 2).
case_images: Lumbar XR with Post-operative Instrumentation. Post-operative imaging demonstrating instrumentation placed via aggressive discectomy and DLIF for source control and stabilization at L3-4.
case_images: cureus-0016-00000052620-i03.jpg
case_images: PMC10875402_01_cureus-0016-00000052620-i03.jpg
case_images: FIG3
case_images: Antibiotic-impregnated irrigation was used to wash the approach window and the L3-4 disc space prior to lateral instrumentation (Figure 3).